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2013 CONFERENCE

Let Recovery Ring in a New Era


NOVEMBER 913, 2013

Philadelphia Marriott Downtown

PHILADELPHIA
www.aatod.org
Conference Program

CONFERENCE COMMITTEES

CONFERENCE OBJECTIVES

CONFERENCE PLANNING COMMITTEE Roland C. Lamb, MA


Conference Chair
Department of Behavioral Health and Intellectual disAbility Services

BOaRd MEMBERS Tina Beckley, MA Tim Bohman Roye T. Brown, MS Susan Case, MS W. Jonas Coatsworth, MA Peter Coleman, MS Brian Crissman, BA Emilia Figueroa Guillen, MD Richard Froncillo, LCDS Cheryl L. Gardine, LCSW Gloria Hanania, LMHC Edward J. Higgins, MA Keith Hochadel, MEd Kenny House, LCAS Ron Jackson, MSW Ann Jamieson, CADC Jason Kletter, PhD Shirley Linzy, RNMS Kate Mahoney, LCSW Brian McCarroll, DO Paul McLaughlin, MA Joel Millard, DSW Edward V. Ohlinger Stacey Pearce Kenneth Stoller, MD Member-At-Large Richard Bilangi, MS 2013 CONFERENCE COMMITTEES Accreditation Committee Brian Crissman, BA
Committee Chair

CO IN LA AL SC NY DC Mexico PA MO FL NJ OH NC WA OK CA NV IL MI CT UT VA GA MD

 To discuss the impact of health care reform on the delivery of Medication Assisted Treatment (MAT) services and on individuals, families and communities  To identify and provide new information of critical importance to the eld and evaluate its implications for patients, clinicians, administrators and policy makers  To facilitate the integration of medication assisted recovery into medical care delivery models  To demonstrate techniques and highlight programs for improving clinical and program administration, and patient outcomes  To promote/encourage the benets of community and healthcare/wellness partnerships and collaborations

Mark W. Parrino, MPA


President
American Association for the Treatment ofOpioid Dependence, Inc.

Carleen Maxwell, MPH


Project Director
American Association for the Treatment ofOpioid Dependence, Inc.

Angelina Budija
Administrative Coordinator
American Association for the Treatment ofOpioid Dependence, Inc.

Maria Ramos, CMP


Meetings & Exhibits Manager
Talley Management Group, Inc.

Maria Boswell
Project Coordinator
Department of Behavioral Health and Intellectual disAbility Services

BOaRd OF DIRECTORS Mark W. Parrino, MPA


President

NY MA AZ RI ME

Janice F. Kauffman, RN
First Vice President

George E. Stavros, MD
Second Vice President

Michael Rizzi
Treasurer

Jennifer Minthorn, MA
Secretary

Carleen Maxwell, MPH Susan Storti, PhD Awards Committee Cheryl L. Gardine, LCSW
Committee Chair

Roye T. Brown, MS Keith Hochadel, MEd Ann Jamieson, CADC Michael Rizzi

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AATOD 2013 Conference

LETTER FROM THE CONFERENCE CHaIR

Hospitality Committee Thomas M. Baier, MHS


Committee Chair

Kevin Howard Gregg Kelinson, CAAP Magdalena Ramos International Committee Michael Rizzi
Committee Chair

E HOLD THESE TRUTHS TO BE SELF EVIDENT, that all are created

Icro Maremmani, MD Mark W. Parrino, MPA Plenary Committee Richard Froncillo, LCDS
Committee Chair

equal, endowed with certain inalienable rights, that among these are life, liberty and the pursuit of recovery. In the spirit of our declaration of independence, I welcome you all as delegates to the 2013 American Association for the Treatment of Opioid Dependence, Inc. (AATOD) Conference. A delegate is someone who speaks or acts on behalf of an organization at a meeting or conference between organizations of the same level.You are all here representing many different but equally important areas of opioid dependence, treatment and recovery.The City of Philadelphia, its Department of Behavioral Health and Intellectual disAbility Services, the State of Pennsylvania and its Department of Drug and Alcohol Abuse Programs are proud to be hosting this conference and warmly welcome you. We in addiction treatment generally and medication assisted recovery in particular, are being challenged to play an increasingly important role in healthcare, addiction treatment, behavioral health and recovery oriented systems of care. Our eld is confronting a time of many changes and we are meeting these changes during a time of larger nationwide and global change.The world of addiction treatment and recovery has never been a more exciting area of healthcare and as conference delegates, you are contributing to the richness of learning and dialogue in the diverse array of forums, workshops and plenary sessions that will ensure our eld remains at the cutting edge.This years conference promises to follow in the long tradition of AATOD Conferences being the destination for state of the art training for medication assisted treatment providers, public policy makers and advocates from all over the world.This year our planning committees have prepared ve days of exciting, creative and critical programming. Our conference theme, Let Recovery Ring in a New Era is woven throughout the plenary sessions, workshops, posters and hot topic roundtables. This conference continues the celebration of the hard work and dedication of those in medication assisted recovery, those who work tirelessly to serve them continuing to meet the challenges of our eld and to excel despite struggling economies, serial stigma and workforce shortages. We should all be very proud of where we are today and excited about where we are headed. Id again like to welcome and thank each of you for coming. We want you to really get into the conference, take in the city, and share your experiences, energy and creativity.

Roland C. Lamb, MA Mark W. Parrino, MPA Public Relations Committee Joel Avery
Committee Chair

Roland C. Lamb, MA Mark W. Parrino, MPA Volunteer Committee Beverly Haberle, MHS
Committee Chair

Kim Doughty Workshop Committee Susan Storti, PhD


Committee Chair

Molly Carney, PhD Adam J. Gordon, MD Claude Hopkins, CADC Lynn Ives, RN Ron Jackson, MSW Petra Jacobs, MD Brandon T. Johnson, PhD(c) Karol Kaltenbach, PhD Megan Marx, MPA Michael Rizzi Kellie Rollins, PsyD Trusandra Taylor, MD Joan Zweben, PhD

Roland C. Lamb, MA 2013 AATOD Conference Chair

November 913, 2013 | Philadelphia, Pennsylvania

COnFEREncE AT A GLAncE

Saturday, 11-9

7:30 a.m.5:00 p.m. 8:00 a.m.5:00 p.m. 8:00 a.m.5:30 p.m. 9:00 a.m.5:00 p.m. 1:00 p.m.4:00 p.m. 1:00 p.m.4:00 p.m. 1:00 p.m.5:00 p.m. 3:00 p.m.5:00 p.m. 5:00 p.m.8:30 p.m.

Registration Open The Certied Medication Assisted Treatment Advocate (CMA) Training Course Buprenorphine and Ofce-Based Treatment of Opioid Dependence OTP Clinical Staff Education: Appropriate Use of Methadone in the OTP Understanding Hepatitis in the Substance Abuse Treatment Setting OTP Liability for Patient-Related Motor Vehicle Accidents: A Mock Trial and Focus Group Presentation Tobacco Cessation Program for Opioid Treatment Programs Extended-Release Naltrexone Effectiveness Findings and Clinical Experience AATOD Open Board Meeting Registration Open Opioid Maintenance Pharmacotherapy: A Course for Clinicians Countering Opioid Stigma: Communicating Messages to Inuence Public Perception Policy Considerations and Collaborative Partnerships: Working with Opioid Dependent Pregnant Women From START to FinishNIDA/CTN Presentation State Opioid Treatment Authorities Meeting (Closed Session for State and Federal Ofcials) Opioid Treatment Program Accreditation Town Hall Meeting Presentations by the World Federation for the Treatment of Opioid Dependence (WFTOD) Risk Management Strategies for 2013 and Beyond Buprenorphine and Naltrexone: The Expanding Role of Medication Assisted Treatment Posters in Franklin Hall Exhibits Welcome Reception Methadone Anonymous Meeting (Open) Registration Open Continental Breakfast in Exhibit Hall Poster Author SessionAuthor(s) presentation including Q&A Exhibits Posters in Franklin Hall (Hall closed 9:30 a.m.11:30 a.m.) Opening Plenary SessionLet Recovery Ring in a New Era Exhibits Lunch (on your own) Workshop Sessions/Hot Topic Roundtables Exhibitor Networking Break in Exhibit Hall Poster Author SessionAuthor(s) presentation including Q&A Workshop Sessions Town Hall MeetingAddressing the Non-Medical Use of Prescription Opioids Methadone Anonymous Meeting (Open) Registration Open Continental Breakfast in Exhibit Hall Exhibits Posters in Exhibit Hall Middle Plenary SessionKeeping Recovery the Focus Lunch (on your own) Workshop Sessions Awards Banquet Methadone Anonymous Meeting (Open) Registration Open Continental Breakfast Workshop Sessions Workshop Sessions Clinic Tours (Sign-Up at Hospitality Table)

Sunday, 11-10 Monday, 11-11 Tuesday, 11-12 Wednesday, 11-13

7:30 a.m.7:30 p.m. 8:00 a.m.5:30 p.m. 8:30 a.m.12:30 p.m. 8:30 a.m.12:30 p.m. 8:30 a.m.12:30 p.m. 8:30 a.m.5:30 p.m. 9:00 a.m.12:00 p.m. 1:00 p.m.5:00 p.m. 1:00 p.m.5:00 p.m. 1:00 p.m.5:00 p.m. 4:00 p.m.7:30 p.m. 4:00 p.m.7:30 p.m. 5:30 p.m.7:30 p.m. 7:30 p.m.8:30 p.m. 7:30 a.m.5:30 p.m. 7:30 a.m.8:30 a.m. 7:30 a.m.8:45 a.m. 7:30 a.m.9:30 a.m. 7:30 a.m.4:30 p.m. 8:45 a.m.10:15 a.m. 11:30 a.m.4:30 p.m. 12:00 p.m.1:30 p.m. 1:30 p.m.3:00 p.m. 3:00 p.m.4:00 p.m. 3:00 p.m.4:00 p.m. 4:00 p.m.5:30 p.m. 6:30 p.m.8:00 p.m. 7:00 p.m.8:30 p.m. 7:30 a.m.3:30 p.m. 7:30 a.m.8:30 a.m. 7:30 a.m.1:30 p.m. 7:30 a.m.1:30 p.m. 8:45 a.m.10:15 a.m. 12:00 p.m.1:30 p.m. 1:30 p.m.3:00 p.m. 7:00 p.m.9:30 p.m. 9:30 p.m.10:30 p.m. 7:30 a.m.1:00 p.m. 7:30 a.m.8:00 a.m. 8:00 a.m.9:30 a.m. 9:45 a.m.11:15 a.m. 1:00 p.m.3:30 p.m.

10:30 a.m.12:00 p.m. Workshop Sessions

All events and times listed are subject to change.

10:30 a.m.12:00 p.m. Workshop Sessions

11:30 a.m.12:45 p.m. Closing Plenary SessionHow Health Care Reform will Impact OTPs

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AATOD 2013 Conference

Pre-Conference Sessions
Saturday, November 9, 2013
8:00 a.m.5:00 p.m.
Grand Ballroom Salon K There is a separate registration fee for this pre-conference event. Onsite registration will begin at 8:00 a.m. outside the session room. NAMA Recovery cannot guarantee a place to anyone not pre-registered. Lunch is not provided.
Sponsored by the National Alliance for Medication Assisted Recovery (NAMA Recovery)

The Certied Medication Assisted Treatment Advocate (CMA) Training Course


Walter Ginter, CMA, NAMA Recovery, New York, NY Laura McNicholas, MD, Philadelphia Veterans Administration Medical Center, Philadelphia, PA Claude Hopkins, CADC, NAMA Recovery, New York, NY Cheryl Blankenship Kupras, LCSW, Santa Clara County Department of Alcohol and Drug Services, San Jose, CA Herman Joseph, PhD, Stop Stigma Now/NAMA Recovery, New York, NY Joycelyn Woods, MA, NAMA Recovery, New York, NY J.R. Neuberger, CMA, NAMA Recovery, Elkton, DE Roxanne Baker, CMA, NAMA Recovery, Santa Cruz, CA Robert Lubran, MS, Substance Abuse and Mental Health Services Administration (SAMHSA), Rockville, MD Ronald Young, Pennsylvania Department of Drug and Alcohol Programs (DDAP), Harrisburg, PA

8:00 a.m.5:30 p.m.


Grand Ballroom Salon J

Buprenorphine and Ofce-Based Treatment of Opioid Dependence


John A. Renner, Jr., MD, Boston University School of Medicine, Education Section VA Outpatient Clinic, Boston, MA Laura McNicholas, MD, Philadelphia Veterans Administration Medical Center, Philadelphia, PA Adam J. Gordon, MD, University of Pittsburgh, Veterans Administration, Pittsburgh, PA

The leading advocate and recovery organization for medication assisted treatment, the National Alliance for Medication Assisted Treatment (NAMA Recovery) developed this training, believing that professionals, patients and their families can work together for a better understanding of the physiology of addiction and the use of medication assisted treatment. Both patients and non-patients are encouraged to become Certied Medication Assisted Treatment Advocates (CMA). The course presentation includes: Medication Assisted TreatmentBasic clinical information about methadone and buprenorphine treatment. Addiction & MethadoneCurrent science about addiction in a language understandable to the non-clinician. Regulations & AccreditationCurrent regulations explained by the federal agency that oversees methadone and buprenorphine treatment, and the State Opioid Treatment Authority. Hands On and Systems AdvocacyBasic tools for advocacy, managing issues that confront advocates, educating patients about their rights, handling grievances, legal issues and working within communities to benet patients and treatment. Advocacy and The MediaResponding to negative content in newspapers, television, movies, etc. by writing response letters and letters to the editor. New AdvancesPeer to Peer Services and Recovery Coaching. Certied Medication Assisted Treatment Advocate (CMA)Role of a CMA, ethics of advocacy, the mechanism of certication, and professionalize those committed to advocacy. Participants will gain the initial tools for basic advocacy in order to grow and develop into successful advocates. The course involves eight hours of rigorous training and fullls the training requirement for Certication as a Medication Assisted Treatment Advocate (CMA). November 913, 2013 | Philadelphia, Pennsylvania

The Drug Addiction Treatment Act of 2000 created the opportunity to expand treatment for opioid dependence into the mainstream of medical practice, increase the number of persons treated, and have an important positive public health impact. The legislation species several ways in which physicians can be considered qualied to prescribe and dispense buprenorphine in their ofces for the treatment of opioid dependence. The completion of this training fullls the requirement prior to notifying the U.S. Department of Health and Human Services (DHHS) of their intention to begin prescribing buprenorphine for the treatment of opioid dependence. The presentation is designed to train qualied physicians in dispensing or prescribing specically approved Schedule III, IV and V narcotic medications for the treatment of opioid addiction in an ofce-based setting. The goal of this training is to acquire the knowledge and skills needed to provide optimal care to opioid dependent patients by providing: 1) an overview of opioid dependence; 2) the efcacy and safety of buprenorphine; 3) process of patient selection; 4) clinical use of buprenorphine; 5) nonpharmacological interventions; 6) medical psychiatric conditions in opioid dependent patients, ofce procedures; and 7) special treatment population. Designated by the DHHS, this training meets the eight hour requirement and is designed for physicians to dispense buprenorphine in ofce practice for treatment of opioid dependence. Participation in this training will provide physicians with a comprehensive overview of buprenorphine prescribing and its safe and effective use in an ofce-based setting. This training is designed for physicians and other primary care providers who are likely to treat opioid dependent persons in their practice, such as those in family practice, general internal medicine, psychiatry, pediatrics and adolescent medicine specialists.
Sponsored in part by the Substance Abuse and Mental Health Services Administration (SAMHSA) and in partnership with the American Academy of Addiction Psychiatry (AAAP), the American Osteopathic Academy of Addiction Medicine (AOAAM) and the American Psychiatric Association (APA)

Pre-Conference Sessions
Saturday, November 9, 2013
Funding for Buprenorphine and Ofce-Based Treatment of Opioid Dependence was made possible (in part) by 1H79T1022022 from SAMHSA. The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reect the ofcial policies of the Department of Health and Human Services; nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government. This session will help familiarize participants with basic information on viral hepatitis and the need for counselor skills and support services in the substance abuse treatment setting. By the end of the module participants will be able to identify the prevalence of hepatitis A, B and C; describe at least three risk factors for viral hepatitis; dene the different levels of viral hepatitis: acute, chronic and fulminant hepatitis; identify symptoms of hepatitis A, B and C; identify the ways that hepatitis A, B and C are transmitted; state the connection between viral hepatitis and other infectious diseases such as HIV; identify at least two prevention options for hepatitis A, B and C; describe disease course progression for hepatitis C; describe the screening measures for hepatitis B and C; identify at least two diagnostic tests for hepatitis B and C; identify newly approved treatment options for hepatitis C; describe how risk behavior identies patients for screening and testing in substance abuse treatment programs; identify at least two ways that counselors can support patients in undergoing hepatitis C treatment; and identify referral and support services for patients undergoing treatment for hepatitis C.
Sponsored by the Substance Abuse and Mental Health Services Administration (SAMHSA)

9:00 a.m.5:00 p.m.


Grand Ballroom Salon H

OTP Clinical Staff Education: Appropriate Use of Methadone in the OTP


Valentin Bonilla, PA, Beth Israel Hospital, New York, NY Carolyn Baird, DNP, Waynesburg University, McMurray, PA

While methadone is recognized as a safe and effective medication, it is important that it be prescribed/dispensed and taken properly. Clinical staff must appreciate its idiosyncrasies and be able to identify potentially dangerous drug interactions, misuse and abuse. Patients lives depend on it. The recent rise in methadone mortality has brought additional scrutiny to the use of methadone. Although the increase in deaths appears to be linked to the increased use of the medication in treatment of pain, rather than in Opioid Treatment Programs (OTPs), the Substance Abuse and Mental Health Services Administration is proactive in developing and delivering targeted clinical training to providers in OTPs to assure that they apply best practice and the most current information on methadone use in the OTP setting. Participants will be able to describe the unique characteristics of methadone pharmacology and pharmacotherapy; understand OTP patient screening, assessment, induction, stabilization and maintenance techniques; identify and address co-occurring medical and psychiatric disorders; and outline treatment services and appropriate levels of care.
Sponsored by the Substance Abuse and Mental Health Services Administration (SAMHSA)

1:00 p.m.4:00 p.m.


Independence Ballroom III

OTP Liability for Patient-Related Motor Vehicle Accidents: A Mock Trial and Focus Group Presentation
James A. Bello, Esq., Morrison Mahoney, Boston, MA Noel Dumas, Esq., Morrison Mahoney, Boston, MA

1:00 p.m.4:00 p.m.


Independence Ballroom II

The objective of this session is to highlight the risk of Opioid Treatment Program (OTP) liability for patients and third parties who are injured in vehicular accidents arising out of the negligent administration of methadone, and/or inadequate counseling or monitoring of continuous illicit drug use. The Mock Trial and Focus Group Presentation are premised upon an actual case brought by an injured patient against an OTP. Conference participants will be presented with the closing arguments of counsel. The plaintiffs (injured party) case focuses on prots over people. The plaintiff alleges that the clinic failed to implement any meaningful consequences in response to the patients continued use of illicit drugs, specically benzodiazepines. Plaintiff contends that if she was faced with consequences for continued drug use, she would have stopped using benzodiazepines, and the accident would not have occurred. The plaintiffs case highlights the legal consequences of violating company policies, state regulations and industry standards, and the legal implications of such violations in a court of law. The defense of the clinic focuses upon the concept of harm reduction and personal responsibility. Despite continuous positive drug screens, the patient made signicant progress in the program, with periods of complete abstinence. The defense contends that the clinic cannot be held responsible

Understanding Hepatitis in the Substance Abuse Treatment Setting


Brian R. Edlin, MD, National Development & Research Institutes, Institute for Infectious Disease Research, New York, NY Diane Padilla, National Development & Research Institutes, Northeast & Caribbean ATTC, New York, NY

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AATOD 2013 Conference

for the poor decisions of a fully informed, consenting adult. There is also emphasis on the absence of legal causation; i.e., evidence that had the consequences been attempted, the patient would have stopped using illicit drugs (and the accident would have been avoided). The teaching session will focus on the importance of adequate documentation, and compliance with policies and regulations. The presenters will show actual video clips from mock trial jury deliberations which reveal laypersons thoughts on methadone treatment, the OTP industry, and drug addiction in general.
Sponsored by the American Association for the Treatment of Opioid Dependence, Inc. (AATOD)

The session will be presented with a strong emphasis on how the stages of change and a patient-driven approach, as part of a comprehensive cessation program, are effective methods to encourage abstinence from tobacco in OTP patients. Finally, participants will have ample time to ask questions about the program and related issues. All participants will be asked to complete a post-session evaluation (for the presenters use) and a tobacco literacy test that will be self-assessed and will not be collected by the presenters.
Sponsored by the Substance Abuse and Mental Health Services Administration (SAMHSA)

3:00 p.m.5:00 p.m.


Grand Ballroom Salon L

1:00 p.m.5:00 p.m.


Independence Ballroom I

Tobacco Cessation Program for OpioidTreatmentPrograms


Deborah Petska, MA, Danya International, Inc., Silver Spring, MD Lamont Clark, BS, Danya International, Inc., Silver Spring, MD Brandon T. Johnson, PhD(c), Substance Abuse and Mental Health Services Administration (SAMHSA), Rockville, MD

Extended-Release Naltrexone Effectiveness Findings and Clinical Experience


Adam Bisaga, MD, Columbia University, New York, NY David R. Gastfriend, MD, Alkermes, Inc., Waltham, MA Philip L. Herschman, PhD, CRC Healthcare Group, Inc., Cupertino, CA

The SAMHSA Tobacco Cessation Program for Opioid Treatment Programs (OTPs) session will provide conference participants with the awareness, knowledge and tools that will enable them to determine the appropriateness of the tobacco cessation program for incorporation into their treatment facilities and assess the readiness of their tobacco-addicted patients. The rst part of the presentation will briey focus on the importance of a tobacco cessation program that specically addresses the OTP patient population, as evidenced by several studies. Participants will learn about the higher-than-average prevalence of tobacco use among opioid users, the physiological and psychological reasons for high rates of smoking and tobacco addiction among this population, the health implications of co-addiction, evidence-based tobacco cessation practices that are tailored to addressing the particular needs of co-addicts, and the SAMHSA Tobacco Cessation Programs unique approach to achieving cessation success in the target OTP patient population. The second portion of this session will provide participants with an overview of the tobacco cessation program and its fundamental principles: use of the stages of change model, and a patient-driven approach. In addition, the participants will learn the requirements of the program for OTP clinics, administrators, staff and patients who use tobacco. They will have the opportunity to review the Trainers Manual and the Patients Workbook for the program. Participants will have the opportunity to complete an actual session from the program.

Studies in community outpatient and residential settings, and across varying populations and treatment durations, have examined once monthly injectable extended-release naltrexone (XR-NTX) combined with psychosocial treatment in terms of effectiveness for preventing relapse to opioid use, reducing cravings and increasing retention. This session will describe clinical experience using XR-NTX as well as safety and effectiveness ndings from 15 studies in opioid dependence that have been published, are in press or have been presented (aggregate XR-NTX-treated N=1,683). In addition, the session will present outcomes following pain-related adverse events and experience with HIV+ and Hep C+ in patients treated with XR-NTX. Research funded by Alkermes, Inc.

AATOD OpEN BOaRd MEETINg

Saturday, November 9, 5:00 p.m.8:30 p.m.


Liberty Ballroom

Supported by Addiction Treatment Providers Insurance Program.

November 913, 2013 | Philadelphia, Pennsylvania

Pre-Conference Sessions
Sunday, November 10, 2013
8:00 a.m.5:30 p.m.
Grand Ballroom Salon E

8:30 a.m.12:30 p.m.


Grand Ballroom Salon I

Opioid Maintenance Pharmacotherapy: A Course for Clinicians


Trusandra Taylor, MD, ACT/JEVS Human Services, Philadelphia, PA Susan Neshin, MD, JSAS Healthcare, Inc., Neptune, NJ Laura McNicholas, MD, Philadelphia Veterans Administration Medical Center, Philadelphia, PA Abigail Kay, MD, Thomas Jefferson University, Philadelphia, PA Laura Murray, DO, NHS Human Services, Philadelphia, PA

Countering Opioid Stigma: Communicating Messages to Inuence Public Perception


Frank J. Carillo, BS, ECG, Inc, Englewood, NJ

This course is recommended for clinicians who have an interest in increasing their knowledge of medication assisted treatment (MAT) for opioid dependence. The updated curriculum includes current consensus guidelines for best practice treatment for opioid addiction, focusing primarily on the utilization of methadone. Topics include overview of opioid dependence, epidemiology, opioid pharmacology, evidence-based treatment options, patient assessment/ selection, special populations, induction and maintenance protocols, pain management, drug-to-drug interactions, adverse effects, methadone deaths, managing medical/psychiatric problems, drug testing, regulatory issues, an accreditation update, risk management and an overview of other medication modalities. While the course is primarily intended for clinicians with limited experience in MAT, it also provides updated information for more experienced clinicians. Participants will receive a comprehensive syllabus with reference and resource materials. To further integrate the educational objectives, participants are encouraged to discuss challenging problems and clinical issues to facilitate understanding of didactic principles. Experienced opioid treatment program Medical Directors will conduct the program, focusing on the goal for participants to acquire the essential knowledge and skills necessary to deliver safe and effective medication assisted treatment for patients with opioid dependence. The registration fee includes a morning coffee service and afternoon luncheon.
Sponsored by the American Association for the Treatment of Opioid Dependence, Inc. (AATOD) Supported through a grant from Mallinckrodt Pharmaceuticals

Opioid Treatment Programs and patients have historically been the target of negative public opinion and adverse media coverage. This has affected our ability to effectively inuence national drug policy, explain the science of opioid addiction and treatment, gain the funding necessary to provide quality treatment to all who require it, and ultimately operate in the best interests of our patients and communities. This session teaches three key messages specically designed to counter the stigma and stereotypes deeply embedded in the perception of opioid addiction and medication assisted treatment. These messages resulted from a year-long pilot project, Communicating Messages that Achieve Results. Participants will hear these messages and learn how to communicate them in order to create a positive impact within their communities. This session will include Q & A techniques designed to deal with emotional audiences while reinforcing the presentation objectives. For session effectiveness, participation is limited to the rst 50 attendees who arrive for the session.
Sponsored by the American Association for the Treatment of Opioid Dependence, Inc. (AATOD) Supported by VistaPharm

8:30 a.m.12:30 p.m.


Grand Ballroom Salon A

Policy Considerations and Collaborative Partnerships: Working with Opioid Dependent Pregnant Women
Sally Borden, MEd, KidSafe Collaborative, Inc., Burlington, VT Melinda Campopiano, MD, Substance Abuse and Mental Health Services Administration (SAMHSA), Rockville, MD Sharon Amatetti, MPH, Substance Abuse and Mental Health Services Administration (SAMHSA), Rockville, MD Nancy Young, PhD, National Center on Substance Abuse and Child Welfare, Irvine, CA

There are many professionals potentially involved in treatment decisions for opioid dependent pregnant women. These include the womens primary care/OB-GYN team, substance abuse treatment provider, and if referred or involved in the child welfare system, the child welfare social worker and judicial representatives (the parents lawyer, childs lawyer and the judge). Each professional and the organizations that they represent are responding to directives from their organizations, or in the absence of directives, using their professional judgments.

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AATOD 2013 Conference

SAMHSAs National Center on Substance Abuse and Child Welfare (NCSACW) organized a working group to articulate the questions and policy considerations that guide practice for a wide range of professionals working with opioid dependent pregnant women. In addition, the Womens Services Network (WSN) of the National Association of State Alcohol and Drug Abuse Directors (NASADAD) is working with the NCSACW to describe practices that are implemented in states to address the needs of opioid dependent pregnant women and their newborns. This session will share the information developed by this working group and these state practices. The session will also highlight the work of the Children and Recovering Mothers (ChARM) collaborative in Vermont that is coordinated by the Kids Collaborative of Chittenden County. The focus of the collaborative is meeting the needs of pregnant and postpartum women and babies where there is a history of opioid use. This initiative has worked out many of the policy and communication protocols for addressing the needs of the families and could present their lessons learned at the session.
Sponsored by the Substance Abuse and Mental Health Services Administration (SAMHSA)

United States Presenters: George Woody, MD, University of Pennsylvania, Philadelphia, PA Petra Jacobs, MD, Center for the Clinical Trials Network, National Institute on Drug Abuse, Rockville, MD Richard Crist, PhD, University of Pennsylvania, Philadelphia, PA

This segment of the session will present these secondary outcomes including: 1) a comparison of the impact of MET vs. BUP/Nx treatment on HIV risk behaviors; 2) a description of six different BUP/Nx and three different MET induction trajectories and their outcomes; and 3) an association between genotype and treatment outcome in African-American participants receiving BUP/Nx or MET.
International Presenters: Adhi Wibowo Nurhidayat, MD, Jakarta Project, Jakarta, Indonesia Mathew Hickman, PhD, University of Bristol, England John Strang, MD, Kings College, London, England

8:30 a.m.12:30 p.m.


Grand Ballroom Salon B

From START to Finish: National and International Perspectives on Disseminating Research to Practice for the Treatment for Opioid Dependence
SESSION CHaIR & DISCuSSaNT: Andrew J. Saxon, MD, University of

Washington, Seattle, WA

To complement the ndings and dissemination strategies from the U.S. perspective, a panel of international collaborators will present ndings from studies conducted abroad and implementation strategies that have been successful. Presentations will include outcomes from a collaborative project between NIDA and treatment providers in Indonesia, data from epidemiological studies showing the association between the length of MET treatment and mortality rates and dissemination and implementation strategies, and the use of incentive-based interventions in reducing drug use and associated consequences. The session will also describe the N-ALIVE (NALoxone InVEstigation) studya large, prison-based trial that assesses the number of lives that could be saved by providing Naloxone-on-release to adult prisoners with a history of heroin injection. Discussion: Andrew J. Saxon, MD, University of Washington, Seattle, WA Dr. Saxon will lead a discussion on how the knowledge gained from these analyses and ndings can be translated for the implementation of relevant MET or BUP/Nx treatment in clinical settings treating opioid dependent patients in the U.S. as well as internationally.
Sponsored by the National Institute on Drug Abuse, the National Drug Abuse Treatment Clinical Trials Network (NIDA/CTN), and the National Institute on Drug Abuse/Substance Abuse and Mental Health Services Administration (NIDA/SAMHSA) Blending Initiative

To date, the National Drug Abuse Clinical Trials Network Starting Treatment with Agonist Replacement Treatment Study (START) (Saxon et al., 2013) includes the largest database of patients (n=1269) entering opioid agonist treatment programs at community methadone centers around the United States (U.S.). Participants in the study were randomized to either a Methadone (MET) treatment or Buprenorphine/Naloxone (BUP/Nx) treatment, and closely monitored during induction as well as throughout active treatment and follow-up. Pharmacotherapy was provided for 24 weeks with taper or continuation possible through week 32. Primary outcomes showed low rates of liver injury and no differences in liver functions between MET and BUP/Nx groups. Secondary ndings present a multitude of interesting and clinically relevant outcomes.

November 913, 2013 | Philadelphia, Pennsylvania

8:30 a.m.5:30 p.m.


Grand Ballroom Salon J

1:00 p.m.5:00 p.m.


Grand Ballroom Salon K

State Opioid Treatment Authorities Meeting


(Closed Session for State and Federal Ofcials) Robert Lubran, MS, Substance Abuse and Mental Health Services Administration (SAMHSA), Rockville, MD Brandon T. Johnson, PhD(c), Substance Abuse and Mental Health Services Administration (SAMHSA), Rockville, MD Mary Lou Ojeda, MS, Substance Abuse and Mental Health Services Administration (SAMHSA), Rockville, MD Steve Mason, MSW, Substance Abuse and Mental Health Services Administration (SAMHSA), Rockville, MD Melinda Campopiano, MD, Substance Abuse and Mental Health Services Administration (SAMHSA), Rockville, MD Loren Miller, Drug Enforcement Administration (DEA), Washington, DC State Opioid Treatment Authorities

Presentations by the World Federation for the Treatment of Opioid Dependence (WFTOD)
The World Federation for the Treatment of Opioid Dependence (WFTOD) was founded during the EUROPAD meeting of July 2007 in Ljubljana, Slovenia. All of the member nations, which included the member countries of EUROPAD and all of the member states within AATOD, agreed to a charter for the World Federation.
1:00 p.m.1:15 p.m. Introductions Michael Rizzi, AATOD International Committee Chair, Cranston, RI Icro Maremmani, MD, EUROPAD, President WFTOD, Pisa, Italy 1:15 p.m.2:30 p.m. Optimizing Opioid Dependence Treatment Systems in Europe: What Can We Learn from the EQUATOR Analysis?
CHaIR:

Federal ofcials, including SAMHSA/CSAT staff and State Opioid Treatment Authorities, will convene to share information and discuss a variety of topics of interest to both SAMHSA and the States. Issues of mutual concern in the approval and monitoring of Opioid Treatment Programs including clinical, administrative, nancing and regulatory policy topics will be discussed to improve and coordinate joint oversight.
Sponsored by the Substance Abuse and Mental Health Services Administration (SAMHSA)

Professor Dr. Heino Stver, University of Applied Sciences, Frankfurt, Germany

The European Quality Audit of Opioid Treatment (EQUATOR) Analysis: Are Current Treatment Systems Achieving the Desired Outcomes?
Professor Dr. Gabriele Fischer, Center of Public Health, Medical University Vienna, Vienna, Austria

9:00 a.m.12:00 p.m.


Grand Ballroom Salon C

Opioid Treatment Program Accreditation TownHall Meeting


Megan Marx, MPA, The Joint Commission, Oakbrook Terrace, IL Tracy Grifn Collander, LCSW, The Joint Commission, Oakbrook Terrace,IL

Optimizing Outcomes from Opioid Dependence Treatment in Europe: Insights from EQUATOR on How Current Practices Need toChange Reducing the Societal Burden of Opioid Dependence in Europe: Potential Benets of Optimized Treatment Systems
Professor Dr. Heino Stver, University of Applied Sciences, Frankfurt, Germany Professor Dr. Gabriele Fischer, Center of Public Health, Medical University Vienna, Vienna, Austria 2:30 p.m.3:30 p.m. Symposium New Substances of Abuse in Europe: Results from a EUROPAD Pilot Study in Four European Countries
CHaIR:

This session is designed to be an open forum for The Joint Commission accredited programs. Topics expected to be reviewed include Accreditation Nuts & Bolts, Behavioral Health Home Certication, Leading Practice Library, Top Behavioral Health Care (BHC) Accreditation Standards Compliance Issues, and 2014/2015 Opioid Treatment Program (OTP) Standards Revisions. At the end of this session, participants will be able to identify and discuss new accreditation/certication initiatives available through The Joint Commission, and how to implement relevant changes in their programs. Participants will gain access to The Joint Commission Leading Practices library, identify common standard compliance issues, and develop strategies to address them. Registration for this session is open to all Joint Commission Accredited Opioid Treatment Programs.
Sponsored by The Joint Commission

Icro Maremmani, MD, EUROPAD, President WFTOD, Pisa, Italy

Jody Green, PhD, Denver Health Rocky Mountain Poison and Drug Center, Denver, CO

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AATOD 2013 Conference

3:30 p.m.5:00 p.m. Symposium EUROPAD Hot Topics


CHaIR:

1:00 p.m.5:00 p.m.


Grand Ballroom Salon C

Icro Maremmani, MD, EUROPAD, President WFTOD, Pisa, Italy

Mortality in Opioid Maintenance Therapy: Evaluation of Changing Treatment Practices Over Time and Treatment Outcome Mortality
Professor Dr. Thomas Clausen, Norwegian Centre for Addiction Research, University of Oslo, Oslo, Norway

Buprenorphine and Naltrexone: The Expanding Role of Medication Assisted Treatment


Joshua Lee, MD, New York University School of Medicine, New York, NY Stacy Seikel, MD, Center for Drug Free Living, Orlando, FL Colleen LaBelle, RN, Boston University School of Medicine, Boston, MA

Therapeutic Drug Monitoring in Patients Undergoing Methadone Maintenance Treatment: A Novel Test Using Dried Blood Spots
Lorenzo Somaini, MD, Cossato Addiction Treatment Centre, Local Health Unit, Biella, Italy

The Difcult Patient: Treat or Discharge


Alexander Kantchelov, MD, The Kantchelov Clinic, Soa, Bulgaria Sponsored by the American Association for the Treatment of Opioid Dependence, Inc. (AATOD), EUROPAD, and the World Federation for the Treatment of Opioid Dependence (WFTOD)

With the advent of the Affordable Care Act and the ongoing development of new forms of pharmacotherapy for substance use disorders, it is necessary to think beyond regulatory and practice environments. Matching patients to treatment with ever individualizing care will become the norm. This program will provide attendees with an understanding of the different properties, risks and benets of existing pharmacotherapies. Speakers will use their rsthand experience with the investigation and clinical use of buprenorphine and naltrexone to go beyond pharmacology to examine matching the needs and goals of individuals to the available medications and associated outcomes. While taking into account the very real barriers and boundaries encountered in the treatment system, the speakers will explore ways to expand access and build on the system as it exists to increase options for individuals.
Sponsored by the Substance Abuse and Mental Health Services Administration (SAMHSA)

1:00 p.m.5:00 p.m.


Grand Ballroom Salon L

Risk Management Strategies for 2013 and Beyond


Paul J. Siegel, JD, Jackson Lewis, LLP, Melville, NY

Employers face workplace law challenges at every stage of the employment relationship, including hiring and retaining staff, ensuring compliance with wage and hour laws, managing family and medical leaves, and managing performance problems. Given the continued growth of employment litigation, a comprehensive review of employment policies should be a key component of any organizations risk management strategy. Employers can proactively address potential workplace law challenges and then develop business practices to meet those threats. What may have worked in 1995 or 2005 no longer protects you in 2013 (and surely not in years to come). Avoiding jury trials, class and collective actions and violations of overtime or other workplace laws all require greater expertise, planning and strategic analysis. This session will review the major areas of employment litigation and suggest cures for workplace ills. Participants will learn about recent developments in wage and hour claims, aggressive expansion of the rights of disabled workers and EEOC initiatives, as well as steps that employers can take to improve employee handbooks and other protective employment policies. Due to budget cuts, stafng woes and operational needs, employers too often neglect human resources issuesresulting in out-of-date handbooks, unlawful application forms, inadequate documentation of problem workers, failure to engage in an interactive process when confronted with an employees medical problems and many other workplace law challenges. This session will identify areas requiring immediate attention and will suggest remedies.
Sponsored by the American Association for the Treatment of Opioid Dependence, Inc. (AATOD)

WElCOME RECEpTION

Sunday, November 10 , 5:30 p.m. 7:30 p.m. Franklin Hall The Welcome Reception affords all participants the opportunity to make new professional and personal acquaintances, as well as enjoy some relaxing time with old friends and colleagues not seen for too long.
Sponsored in part by Atlantic Diagnostic Laboratories, Orexo Us, Inc. and Tower Systems

November 913, 2013 | Philadelphia, Pennsylvania

Exhibit and Poster Sessions


Franklin Hall The AATOD Conference serves as a central gathering point for the opioid treatment community and offers signicant opportunities for exhibiting companies and attendees to interact with other professionals who are devoted to the treatment of opioid dependence throughout the nation and abroad. The registrants will consist of the decision makers in this eld who spend over $1 billion annually treating approximately 310,000 patients in opioid treatment programs. In order to provide exhibitors with steady exposure to conference attendees, all continental breakfasts and refreshment breaks will be held exclusively in the exhibit area. An Exhibitors Networking Event will be held Monday, November 11th to encourage contact and dialogue between opioid treatment professionals and the exhibiting companies.
ExHIBIT HOuRS Sunday, November 10: 4:00 p.m.7:30 p.m. Monday, November 11: 7:30 a.m.9:30 a.m. and 11:30 a.m.4:30 p.m. Tuesday, November 12: 7:30 a.m.1:30 p.m. POSTER AUTHOR SESSIONS Posters are in place at all times when Franklin Hall is open. Authors will present their topic on Monday from 7:30 a.m.8:45 a.m. and 3:00 p.m.4:00 p.m. The following domestic and international posters will provide valuable research ndings to treatment providers.

Nutritional Status, Chronic Pain and Body Mass Index inORTPatients

Katharina Wiest, PhD 7


A Comprehensive Multistep Benzodiazepine Reduction Plan in a Suburban Opioid Treatment Program with Predominantly Prescribed Benzodiazepine Use

Jonathan Berman, MD 8
Keys to RecoveryA Better Alternative to NA and AA

Michael Alsep 9
Strategies for Integrating Psychosocial Treatment with Pharmacologic Management for Youth with Co-Occurring Opioid and Mental Health DisordersThe Therapeutic Health Services ENCOMPASS Experience

Susan Caverly, PhD 10


Cocaine Use Reduction with Buprenorphine (CURB) AStimulant Abuse Clinical Trial in the OTP Setting

Allan Cohen, MA 11
Benzodiazepine Use and Retention in Medication Assisted Treatment

Jordan Deaner 12
Opioid Dependent College and University Students

Short Message Service Interventions for the Substance UsePopulation

Peter DeMaria, MD 13
Gender-Specic Peer Support in a Comprehensive Womens Treatment ProgramHealing the Heart, the Mind and the Spirit of Women and their Children

MerriBeth Adams, PhD 2


Retention in OTPWhat We Know

Janet Aiyeku, MPA 3


From the Emergency Department (ED) through the OTP Recent Findings on ED Visits and OTP Treatment involving Buprenorphine and Methadone

Darlene DeMore 14
Patient Self-Selection of IOP Level Services and AssociatedOutcomes

Sara Azimi-Bolourian, PhD 4


Impact of Readiness-to-Change on Massage Therapy forChronic Pain in Opioid Dependent Patients

Kathryn Floyd, MSW 15


Reducing Patient Attrition 5X5

Peter Petit 16
The Impact of Stress and Trauma on Medication Assisted Treatment (MAT) and Initial Treatment Engagement (ITE) in Opioid Dependence Recovery

Victoria Asphaug, MScPH 5


Twelve Month Safety, Efcacy and Patient Satisfaction withan Implantable Formulation of Buprenorphine

Genie Bailey, MD

Kellie Jaremko, BS

Your e c chan IN to W

Trivia!

Please visit the Exhibit Hall and answer questions to enter a drawing for prizes from AATOD at the Closing Plenary Session. See insert in your registration materials for additional information.

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AATOD 2013 Conference

17

Extended-Release Naltrexone Treatment of Veterans withPTSD and other Co-Occurring DisordersA Case Series

29

Seeking Recovery in MATObservations from the MARSProject

Jessica Keyser, PhD 18


Integrated CareOne OTPs Experience

Jo Sotheran, PhD 30
Continuous Recovery Monitoring in the Treatment of OpioidDependence

Evan Kletter, PhD 19


Specialty Care Medical HomeImproving Care to Vulnerable Elders on Methadone

Samuel Stein, FRCPsych 31


Subtle Neuro-Developmental Difculties in Childhood andOpioid Misuse in Young Adulthood

Michelle Kletter, BA 20
Finances and BudgetsThe Part of Addictions We DontTreatment Plan For

Samuel Stein, FRCPsych 32


Actual Causes of Death Among Patients Enrolled in Methadone Maintenance Treatment

Dave Kneessy, MS 21
Co-Occurring Disorders and Higher Levels of Care at aMethadone Clinic

Jeanette Tetrault, MD 33
From START to FinishFindings from the Starting Treatment with Agonist Replacement Therapies Study

Kathleen Lee, MA 22
Structured Entry vs. Unstructured Entry Which Works Best?

George Woody, MD 34
Analysis of the Impact of Treatment Persistence on Health Care Charges Among Opioid Dependent Patients Treated with Buprenorphine/Naloxone using a US Insurance Database

Deborah Malatesta, MSW 23


Relapse Prevention at ThanhDa Drug Treatment Center,Vietnam

Vladimir Zah, PhD(c) 35


Persistence and Healthcare Costs among US Medicaid Population Opioid Dependent Patients Treated with Buprenorphine/ Naloxone Film and Tablet Formulations

Minh Nguyen Phan 24


A Fee for Service Model in a Low Resource Country Assessing Ability to Pay for the Cost of Methadone Treatment in theAbsence of Insurance Coverage

Vladimir Zah, PhD(c) 36 Changing Trends in Methadone Use and Abuse Jane C. Maxwell, PhD

Thuy Nga Nguyen Thi, MS 25


Characteristics of Methadone Maintenance Treatment Patients Who Achieve Maximal Available Take-home Doses Privileges (two weeks)

Einat Peles, PhD 26


Specially-trained Nurses Network Education Program for Hepatitis C Treatment in OutpatientsResults in 222 patients and benets for drugs users with OST and inmates

Andre Jean Remy, MD 27


Non-opioid Substance Use Among Opioid Dependent Patients Enrolling in Opioid Treatment ProgramsA latent class analysis

Andrew Rosenblum, PhD 28


Effective Collaboration within the Criminal Justice System

Tracy Simmons-Hart, MS

November 913, 2013 | Philadelphia, Pennsylvania

11

Conference Sessions
Monday, November 11, 2013
CONTINENTAL BREAKFAST

10:30 a.m.12:00 p.m.

WORkSHOp SESSIONS
Workshops will offer a chance to review the latest treatment data and health care policies, examine their implications for our patients, and strengthen the skills needed to improve the quality of services. Basic Track: We offer a special sequence of workshops designed to act as a refresher for seasoned professionals and to meet the needs of individuals who are new to this eld. Those who attend all six sessions listed will receive a special certicate of completion.
Basic Track Workshop Sessions: A1, B1, C1, D1, E1 and F1

Monday, November 11, 7:30 a.m.8:30 a.m.


Franklin Hall

Sponsored by VistaPharm Inc.

OpENINg PlENaRy SESSION


8:45 a.m.10:15 a.m.
Grand Ballroom Salons G-H

Let Recovery Ring in a New Era


Roland C. Lamb, MA, Director, Ofce of Addiction Services, Department of Behavioral Health and Intellectual disAbility Services (DBHIDS), Philadelphia, PA Arthur C. Evans, Jr., PhD, Commissioner, Department of Behavioral Health and Intellectual disAbility Services (DBHIDS), Philadelphia, PA Gary Tennis, Esq., Secretary, Department of Drug and Alcohol Programs (DDAP), Harrisburg, PA Mark W. Parrino, MPA, President, American Association for the Treatment of Opioid Dependence, Inc. (AATOD), New York, NY Stuart Gitlow, MD, President, American Society of Addiction Medicine (ASAM), Woonsocket, RI Michael P. Botticelli, MEd, Deputy Director, Ofce of National Drug Control Policy (ONDCP), Washington, DC

A1Meeting the Needs of Patients with CoOccurring Disorders


Grand Ballroom Salon E
Joan E. Zweben, PhD, University of California, San Francisco, CA

This workshop will discuss how counselors can help integrate the treatment of psychiatric disorders into the opioid treatment program. We will discuss addictive behavior and psychiatric problems, barriers to addressing them, prioritization of treatment tasks and appropriate education for patients. We will focus on anxiety disorders (especially PTSD) and mood disorders, and also review screening and assessment of suicide risk from the perspective of agency protocols as well as the role of the counselor. Treatment issues will include psychosocial issues (coping strategies, stigma), medication issues (attitudes, feelings, adherence), and collaboration with physicians. We will review several evidence-based treatments.

A2Impact of HIT and Health Reform on Medication Assisted Treatment


Grand Ballroom Salons A-B
H. Westley Clark, MD, JD, MPH, CAS, FASAM, Substance Abuse and Mental Health Services Administration, Rockville, MD Kate Tipping, JD, Substance Abuse and Mental Health Services Administration, Rockville, MD Ken Salyards, BS Substance Abuse and Mental Health Services Administration, Rockville, MD

Aligned with the conference theme Let Recovery Ring in a New Era, the Opening Plenary will review AATODs projects and efforts in Pennsylvania, throughout the US and abroad. Mr. Roland Lamb, Conference Chairperson, will welcome the conference attendees and provide an overview of this stimulating conference. Following Mr. Lamb, Dr. Arthur Evans, Jr., Ph.D., will describe Philadelphias efforts in providing treatment and recovery services in their city. Following Dr. Evans will be Mr. Gary Tennis who will describe the vision and the goals of the newly created Department of Drug and Alcohol Programs. Mr. Mark Parrino will then provide an overview of challenges, opportunities and accomplishments of AATOD over the past 18 months and into the future. Dr. Stuart Gitlow will describe ASAMs work to evaluate what is occurring in state legislatures with regard to imposing restrictions on the use of Medication Assisted Treatment for opioid addiction. Mr. Michael Botticelli will provide guidance in support ofMedication Assisted Treatment for opioid addiction through the Criminal Justice System and in improving access to care in the era of Health Care Reform.

Panelists will provide attendees with a look at Health Information Technology (HIT) as a part of the Affordable Care Act (ACA), with particular emphasis on how they relate to medication-assisted treatment; how the evolving use of health information technologyelectronic health records and beyondimpact the delivery and quality of behavioral health services; and how 42 CFR Part 2 applies to privacy of behavioral health information. The workshop will also focus on the implications that Health Reform will have on opioid treatment programs (OTPs). The panel will also describe current SAMHSA activities regarding HIT, the ACA, and recent research and studies of interest to AATOD members.
Sponsored by the Substance Abuse and Mental Health Services Administration (SAMHSA)

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AATOD 2013 Conference

A3 Alcohol and Benzodiazepines during Agonist Opioid Treatment (AOT)


Grand Ballroom Salons C-D
Icro Maremmani, MD, Santa Chiara University Hospital, University of Pisa, Pisa, Italy Angelo Giovanni Icro Maremmani, MD, Association for the Application of Neuroscientic Knowledge to Social Aims (AUCNS), Pietrasanta, Italy Matteo Pacini, MD, G. De Lisio Institute of Behavioural Sciences, Pisa, Italy

by examining effective patient assessment for impairment and take-home medication using interactive case studies. A training manual for teaching risk reduction and prevention of liability will be presented during the workshop.

1:30 p.m.3:00 p.m.

HOT TOpIC ROuNdTaBlES


Hot Topic Roundtables are facilitated discussions that focus on current controversial issues in an informal context. Meet with your colleagues as you learn, challenge, support and share your views with others who may have similar or different opinions, experiences or interests. Engage in one or more of these facilitated discussions. Experienced leaders in the eld will be facilitating the following sessions:
HT1 - Medication Assisted Treatment in Correctional Institutions Facilitator: John T. Carroll, CADC/CCS Room 401 HT2 - Cannabis Use Co-Facilitators: Kellie Rollins, PsyD and Christopher A. Milburn, MD Grand Ballroom Salons I-J HT3 - Confronting Stigma and Misinformation within Methadone Treatment and Beyond Co-Facilitators: Robert C. Lambert, MA and Alan Nolan, LCSW Room 402 HT4 - Benzodiazepine Use in Medication Assisted Treatment Facilitator: Laura F. McNicholas, MD Grand Ballroom Salons C-D HT5 - Pain Management for the OTP Patient Facilitator: Brian McCarroll, DO Room 403 HT6 - Recovery Support in the OTPs Co-Facilitators: George Murray, CPS and Andrew Ricciardi, CPS Room 404

Cessation of illicit opioid abuse and retention in treatment are positively correlated with decrease in alcohol and benzodiazepines abuse and the absence of the psychosocial complications. This workshop will address the clinical and therapeutic impact of alcohol and benzodiazepines during AOT including the quality and severity of alcohol and benzodiazepines, aspects of treatment that may facilitate the onset of abuse, as well as the signs and symptoms indicative of such abuse. Presenters will also discuss treatment modications, risk reduction strategies, safe and effective use of psychiatric medications, and withdrawal from alcohol and/or benzodiazepines.

A4The Far Reaching Benets of Patient Advisory and Advocacy Groups


Grand Ballroom Salon F
Stephen Day, Patient Advisory & Advocacy Group, Los Angeles, CA Stephen Maulhardt, Aegis Management Systems, Inc., Los Angeles, CA Becky Torres, Aegis Management Systems, Inc., Los Angeles, CA

In 2003, Aegis developed a collaborative relationship with patients, culminating in the formation of Patient Advisory & Advocacy Group (PAAG). Over the years, the PAAG has become a xture within Aegis, providing feedback to corporate directors and clinic managers. Additionally, it assists the organization with community relations and advocacy, including testifying before State Assembly and Senate committees. Furthermore, it provides patients with a seat at the table where decisions are made at the corporate and clinic level. Through the presentation, attendees will meet in person the PAAG Chairman and Aegis Directors who are involved daily with the PAAG.

A5Hot Button Issues for Risk Management forMethadone Treatment


Grand Ballroom Salons I-J
Holly Hagle, PhD, Institute for Research, Education and Training in Addictions, Pittsburgh, PA Trusandra Taylor, MD, ACT/JEVS Human Services, Philadelphia, PA Phyllis Lile-King, PLLC, The Lile-King Firm, Greensboro, NC

This workshop will address the complex issue of risk management for methadone treatment. The presenters will describe best practices and the need for increased attention to patient safety with methadone treatment through managing patient risk for potential co-occurring physical and psychiatric disorders, overdose prevention, pain management and coordination of care through prescribing physicians and PMPs. They will also dene strategies for improving use of methadone in opioid treatment

POlICy MakERS LuNCHEON

Monday, November 11
Supported through a grant from Laboratory Corporation/Bendiner & Schlesinger, Inc.

November 913, 2013 | Philadelphia, Pennsylvania

13

Conference Sessions
Monday, November 11, 2013
WORkSHOp SESSIONS #1Implementing MAT Policy and Services in East Africa
Grand Ballroom Salons A-B
Lonnetta Albright, BS, Great Lakes Addiction Technology Transfer Center, Chicago, IL William Okedi, PhD, Government of Kenya (NACDA), Nairobi, Kenya Frank Masaoe, PhD, Muhimbili National Hospital, Dar-es-Salaam, Tanzania

and implementation outline identifying essential partners, target population, needs assessments, cost benets, and the State Plan Amendment submission process.

#3 Yoga Nidra in OTP


Grand Ballroom Salon F
Karen Lazarus, MD, Beth Israel Medical Center, Brooklyn, NY Meredith Zicht, MSW, Beth Israel Medical Center, Brooklyn, NY

Presenters will address the recent expansion of MAT as an HIV prevention intervention in East Africa as well as common barriers and issues shared by the US and East Africa; the growing epidemic of heroin abuse in Eastern Africa as part of the US Presidents Emergency Plan for AIDS Relief (PEPFAR); efforts of the Great Lakes ATTC to develop a ROSC for Zanzibar, Tanzania and expansion to the capitol Dar-es-Salaam; the barriers and issues of implementing and scaling-up methadone treatment in Dar-esSalaam; and steps taken by the Government of Kenya to implement MMT for an initial 1,000 patients.

Chronic pain, post-traumatic stress and anxiety are common problems among patients in treatment for opioid dependence. Yoga Nidra, a deep meditation, is a complementary therapy that is being used in increasing numbers of health care settings including military and Veterans Administration hospitals and chemical dependency treatment facilities as part of the treatment for these problems. This workshop will present evidence for the benets of this practice, provide a brief experience of the process, and describe how Yoga Nidra has been integrated into the group counseling program at one of Beth Israels methadone maintenance clinics.

4:00 p.m.5:30 p.m.

#2OTP Health Homes: A collaborative model fordevelopment & implementation


Grand Ballroom Salon E
Rebecca Boss, MA, Department of Behavioral Healthcare, Developmental Disabilities and Hospitals, Cranston, RI Linda Hurley, MA, CODAC Behavioral Healthcare Inc., Cranston, RI Peter Morris, BS, Discovery House/Smart Management Inc., Providence, RI

WORkSHOp SESSIONS B1 50 Year Follow-up of Methadone Treatment for Opioid Addiction


Grand Ballroom Salon E
Mary Jeanne Kreek, MD, The Rockefeller University, New York, NY Elizabeth Ducat, NP, The Rockefeller University, New York, NY Brenda Ray, NP, The Rockefeller University, New York, NY

Rhode Island was one of the rst to receive a State Plan Amendment approval by CMS for Health Homes to serve individuals with serious mental illness. The RI SSA is committed to extending this opportunity to OTP patients. The ongoing therapeutic relationships and regular, often daily, patient contact in OTPs intrinsically supports health homes. To optimize this opportunity, Health Home submission planning meetings began including Medicaid and OTP providers, with input solicited from consumers, physicians and researchers. This workshop provides a planning

This workshop will provide a historical overview of the evolution of methadone treatment through a discussion of the work of the late Dr. Vincent P. Dole, the late Dr. Marie Nyswander and Dr. Mary Jeanne Kreek. The presenters will also review the establishment and expansion of methadone treatment nationally and internationally including treatment in prisons and jails, discuss the development and disappearance of levo-aacetylmethadol (LAAM), and examine the growing use of buprenorphine and extended-release naltrexone as additional treatment modalities.

B2Federal Health Policy Update for the Substance Use Disorder Field
ExHIBITORS NETwORkINg BREak

Grand Ballroom Salons C-D


Paul Samuels, JD, Legal Action Center, New York, NY Gabrielle R. de la Gueronniere, JD, Legal Action Center, Washington, DC Dan Belnap, MA, Legal Action Center, Washington, DC

Monday, November 11, 3:00 p.m.4:00 p.m.


Franklin Hall
Sponsored in part by O.Berk Company of New England and Kols Containers

The healthcare system in this country is currently undergoing tremendous change. After years of hard work the major provisions of the health reform law will soon take effect, with unprecedented implications for expanding

14

AATOD 2013 Conference

access to critical drug and alcohol related services and transforming the treatment delivery system. New initiatives and ongoing challenges at the national level continue to impact the future of treatment delivery and nancing. This workshop will discuss federal developments related to addiction treatment and medication assisted treatment in the new environment, delivery system reforms, and opportunities available for improving policy moving forward.

B3Increasing Availability of MAT for OpioidDependent Offenders at Re-Entry


Grand Ballroom Salon F
Lori Ducharme, PhD, National Institute on Drug Abuse, Bethesda, MD Wayne W. Welsh, PhD, Temple University, Philadelphia, PA Kevin Knight, PhD, Texas Christian University, Fort Worth, TX

Opioid agonists for addiction treatment (primarily methadone, but also buprenorphine) have been associated with QTc prolongation. SAMHSA and AATOD recommend performing ECG in patients with risk factors for QTc prolongation. Ongoing concern for limited access to care, uncertainty regarding the risk of arrhythmia with these agents and the feasibility of a cardiac safety program persist. This workshop provides pharmacovigilance data for several opioid agonists. Specically, we will present analyses of FDA adverse events to illustrate potential cardiac safety signals. In addition, insights regarding the effectiveness and challenges implementing a Cardiac Safety Program in a US OTP will be shared.

6:30 p.m.8:00 p.m.

Town Hall MeetingAddressing the Non-Medical Use of Prescription Opioids


Grand Ballroom Salon E
MOdERaTOR: A. Thomas McLellan, PhD, Treatment Research Institute,

This workshop presents the main ndings of a study testing the combination of two implementation strategiesstaff training and organizational strategic planningto increase acceptability of MAT for opioid dependence among correctional staff, and to promote better linkages to community-based treatment for offenders under community supervision. Staff training was important but insufcient to change organizational practices. Engaging key decision makers in strategic planning improved service coordination between correctional and treatment agencies. The outcomes of probationers successfully linked to MAT indicate that this implementation strategy may facilitate the dual goals of improved public health and public safety.

Philadelphia, PA

Organization, Pittsburgh, PA

SpEakERS: James Schuster, MD, Community Care Behavioral Health

Mitchell J. Cohen, MD, Thomas Jefferson University, Philadelphia, PA Matthew O. Hurford, MD, Philadelphia Department of Behavioral Health and Intellectual disAbility Services, Philadelphia, PA Gary Tennis, Esq., Department of Drug and Alcohol Programs (DDAP), Harrisburg, PA Trusandra Taylor, MD, ACT/JEVS Human Services, Philadelphia, PA (invited)

B4New Jerseys Statewide Implementation of Medication Assisted Treatment


Grand Ballroom Salons I-J
Jude U. Iheoma, PhD, New Jersey Division of Mental Health and Addiction Services, Trenton, NJ MerriBeth Adams, PhD, National Council on Alcoholism & Drug Dependence, Robbinsville, NJ

The topic of the non-medical use of prescribed opioids/painkillers has sparked a great deal of controversy and concern both within and outside of the medical community. Attitudes, beliefs and behaviors triggered by stigma and misinformation have resulted in policy recommendations and legislation. Although well-meaning, these could result in a greater burden on those who need and those who provide treatment. The Town Hall will highlight the underlying issues of opioid use, misuse, dependence, addiction treatment and recovery. The session will also address the role of physicians and other health care professionals in aligning, coordinating and integrating efforts to respond to this national crisis and serve as a collaborative platform for an open discussion and planning. The Town Hall is open to health care professionals, i.e., physicians, dentists, nurses, pharmacists, social workers, counselors, policy makers, etc., to discuss trends and strategies from a healthcare community perspective on the treatment of pain, screening, early intervention, and referral to treatment of opiate dependence, addiction and recovery.
Sponsored by Community Care Behavioral Health (CCBH)

New Jerseys Division of Mental Health and Addiction Services has instituted three innovative programs for disenfranchised substance abusing high HIV risk populations that increase treatment access, improve continuum of care and address barriers to recovery. This presentation will focus on recovery outcomes based on treatment option, primary co-occurring needs, and service utilization. Additionally, clinical outcomes will be presented with a special emphasis on the impact of supportive housing services and treatment induction strengths of the program design, and regulatory and other barriers to implementing and sustaining mobile medication units.

B5Opioid Agonists & Cardiac Safety: Pharmacovigilance & ECG Implementation


Grand Ballroom Salons A-B
Mori J. Krantz, MD, Denver Health Medical Center, Denver, CO David Kao, MD, University of Colorado Anschutz Medical Campus, Aurora, CO Carol Traut, MD, Denver Health Medical Center, Denver, CO

November 913, 2013 | Philadelphia, Pennsylvania

15

Conference Sessions
Tuesday, November 12, 2013
CONTINENTAL BREAKFAST

10:30 a.m.12:00 p.m.

Tuesday, November 12, 7:30 a.m.8:30 a.m.


Franklin Hall

WORkSHOp SESSIONS C1Therapeutic Partnerships: The Most Important Evidence-Based Practice


Grand Ballroom Salon E
Robert C. Lambert, MA, Connecticut Counseling Centers, Inc., Norwalk, CT

Sponsored by Reckitt Benckiser Pharmaceuticals, Inc.

MIddlE PlENaRy SESSION


8:45 a.m.10:15 a.m.

Keeping Recovery the Focus


Grand Ballroom Salons G-H
MOdERaTOR: Roland C. Lamb, MA, Director, Ofce of Addiction Services, Department of Behavioral Health and Intellectual disAbility Services (DBHIDS), Philadelphia, PA SpEakERS:

Research indicates that the quality of the therapeutic relationship has a greater effect on patient retention and outcomes than the specic counseling approach used. This workshop will focus on the opportunities and unique challenges involved in enhancing the therapeutic alliance with medication assisted patients within the clinic setting, review the fundamentals of forming and maintaining a therapeutic relationship and the factors that affect the quality of the therapeutic relationship, discuss the use of patient feedback to strengthen the therapeutic alliance, and explore boundary issues specic to the counselor in recovery.

C2Implications/Opportunities of Health Homes for Opioid Treatment Providers


Grand Ballroom Salon F
Trina Dutta, MPP, HHS/Substance Abuse and Mental Health Services Administration, Rockville, MD David Shillcutt, JD, HHS/Substance Abuse and Mental Health Services Administration, Rockville, MD

Walter P. Ginter, CMA, Vice President, National Alliance for Medication Assisted Recovery (NAMA), Bronx, NY Mary Jeanne Kreek, MD, Head of Laboratory of Biology of Addictive Diseases, The Rockefeller University, New York, NY H. Westley Clark, MD, JD, MPH, CAS, FASAM, Director, Substance Abuse and Mental Health Services Administration (SAMHSA), Center for Substance Abuse Treatment, Rockville, MD

This plenary stresses Keeping Recovery the Focus in a new era that will require programs to adapt to the ongoing implementation of health care reform. Moderated by Roland Lamb, this plenary will discuss the 50-year evolution of methadone treatment and where we are today as an accredited, science based modality. Mr. Walter Ginter will not only discuss how methadone became the pathway for him to reach his full potential for recovery but also his work as an advocate in helping others overcome barriers and stigma. Since Dr. Mary Jeanne Kreek rst collaborated with Dr. Dole and Dr. Nyswander in the early 1960s, she has continued her work in this eld and is considered a leader and pioneer in the addiction eld. Dr. Westley Clark has been at the helm at SAMHSA/CSAT since 1998 and will address the benets of Recovery Oriented System of Care (ROSC), new medications and focusing on outcomes.

This workshop provides an overview of the Affordance Care Acts (ACA) Medicaid Person-Centered Health Homes initiative, with particular emphasis on the implications and opportunities for opioid treatment providers. In addition to an overview of Health Homes and SAMHSAs role in the approval process, the presentation provides an in-depth analysis of approaches in three states. Attendees will receive an update on states with Health Home approval, and updates on implementation and data from evaluations to the extent that they are available. The session closes with a discussion of roles and opportunities relevant to opioid treatment providers on Health Home teams.
Sponsored by the Substance Abuse and Mental Health Services Administration (SAMHSA)

C3Vietnam: Developing Capacity for MMT in a Low Resource Environment


Grand Ballroom Salons I-J
Tam Nguyen, MD, Viet Nam Administration for HIV/AIDS Control, Hanoi, Vietnam Giang Le, PhD, Vietnam HIV Addiction Technology Transfer Center, Hanoi Medical University, Vietnam Gavin Bart, MD, Hennepin County Medical Center, Minneapolis, MN

Vietnam has one of the highest rates of HIV transmission through IDU, with a national average of 20%an estimated 171,000 injection drug users, 85% of whom used heroin. Detoxication was the primary modality for managing heroin addiction until Methadone Maintenance Treatment was piloted in 2008. The Ministry of Health is authorized to expand MMT to at least 30 provinces and for more than 80,000 drug users by 2015. However, 16 AATOD 2013 Conference

INTERNaTIONal LuNCHEON

1:30 p.m.3:00 p.m.

WORkSHOp SESSIONS D1Management of Benzodiazepines in Medication Assisted Treatment


Grand Ballroom Salon E
Dawn L. Lindsay, PhD, Institute for Research, Education and Training in Addictions, Pittsburgh, PA Mathew O. Hurford, MD, Philadelphia Department of Behavioral Health and disAbility Services, Philadelphia, PA James Schuster, MD, Community Care Behavioral Health Organization, Pittsburgh, PA

Tuesday, November 12
Supported through grants from Bollinger Insurance Solutions, Colonial Management, L.P., and Fidelitas Medical IT Solutions

expansion will depend largely on local resources, as international donors are withdrawing support. Major stakeholders (government, academic, and international) will address the challenge of developing and sustaining capacity for MMT expansion.

C4More than Abstinence: Supporting Physical Health & Well-being in OTPs


Grand Ballroom Salons A-B
Jessica D. Keyser, PhD, San Francisco VA Medical Center, San Francisco,CA Judith Martin, MD, Department of Public Health, City and County of San Francisco, San Francisco, CA

OTPs provide a unique opportunity to address co-morbid medical conditions, poor nutrition and mental health problems associated with SUDs. Often a key point of contact for patients within the healthcare system, OTP providers may contribute to prevention, detection, treatment and/or referrals for various disorders, and research has shown that integrating medical care into OTPs is effective and cost saving. This workshop will enhance awareness (e.g., topics for patient education) and provide skills (e.g., health coaching skills, tools for navigating care systems) for psychosocial treatment providers in helping the recovering patient succeed with health and well-being goals beyond abstinence.

This workshop will describe the development of clinical guidelines for the management of benzodiazepines in the context of medication assisted treatment. We will dene the major issues surrounding the use of benzodiazepines in medication assisted treatment, including impairment, clinical outcomes and risk management concerns. We will then describe the development of clinical guidelines using the RAND/UCLA Appropriateness method, a unique methodology that combines the best available scientic evidence and the collective judgment of experts to yield statements regarding the appropriateness of a given clinical practice. Finally, we will explore potential challenges in implementing clinical guidelines addressing benzodiazepine use in medication assisted treatment.

D2 Use of Prescription Drug Monitoring Programs in Opioid Treatment Programs


Grand Ballroom Salons I-J
Ron Jackson, LICSW, University of Washington, Seattle, WA Jana Burson, MD, Half Moon Medical Associates, Cornelius, NC Jinhee Lee, PharmD, Substance Abuse and Mental Health Services Administration, Rockville, MD

C5 Development and Implementation of Recovery-Oriented Best Practice Guidelines forBuprenorphine


Grand Ballroom Salons C-D
James Schuster, MD, Community Care, Pittsburgh, PA Jessica Williams, MPH: candidate, Institute for Research, Education and Training in Addictions, Pittsburgh PA Marge Hanna, MEd, Community Care, Pittsburgh, PA

The Ofce of the National Drug Control Policy released the Prescription Drug Abuse Prevention Plan which identies implementing Prescription Drug Monitoring Programs (PDMPs) as a means to reduce prescription drug abuse. Although federal condentiality laws and regulations prohibit Opioid Treatment Programs (OTPs) from sending patient health information to PDMPs, OTPs can and should access PDMPs for information on their patients. This workshop will provide OTP staff and other stakeholders an overview of PDMPs, one OTP medical directors rsthand account of her experience using a PDMP, and a former OTP directors experience integrating a PDMP into their electronic health record.

There are a number of quality and clinical concerns about the use of buprenorphine in Pennsylvania, including coordination of care, persistently high dosing, diversion, inadequate access in rural areas, and high relapse rate upon discontinuation. This workshop describes the development of Community Cares recovery-oriented best practice guidelines (BPG) for buprenorphine, in a multi-stakeholder process between 2011 and 2013. Presenters will review the content and also discuss challenges and practical applications of these guidelines in Opioid Treatment Programs (OTPs) and other venues to maximize recovery outcomes. Development methodology and lessons learned will be shared. November 913, 2013 | Philadelphia, Pennsylvania

D3Engaging and Retaining Younger Veterans inTreatment


Grand Ballroom Salon F
Kellie Rollins, PsyD, San Francisco VA Medical Center, San Francisco, CA Courtney Smith-Kilbury, PhD, San Francisco VA Medical Center, San Francisco, CA

Over two million service members have deployed since September 11, 2001, with over 800,000 of these individuals deploying multiple times. Studies suggest high prevalence rates of psychiatric disorders, including 17

Conference Sessions
Tuesday, November 12, 2013
mood, anxiety and substance dependence in OIF/OEF/OND veterans. This workshop will describe complexities of treating younger veterans given multiple comorbidities (e.g., PTSD, TBI, pain) and barriers to care in mental health treatment settings; identify exible strategies to better address the needs of these veterans; and highlight the importance in engaging and treating veterans from a cultural framework.

Awards Program
Tuesday, November 12, 2013
7:00 p.m.9:30 p.m.
Grand Ballroom Salons G-H Please join us for the centerpiece of our Conference, a moving tribute to those individuals who have been nominated and selected by their peers for extraordinary service in the opioid treatment community. These successful Award recipients have devoted themselves to improving the lives of patients in our treatment system. Dr. Vincent Dole and Dr. Marie Nyswander were the rst recipients of this Award in 1983. The Association has been responsible for bestowing this honor since the rst Regional Conference of 1984 in New York. The Nyswander/Dole Marie Awards will be presented by A. Thomas McLellan, PhD, CEO and Co-Founder of the Treatment Research Institute, Philadelphia, PA.
The 2013 American Association for the Treatment of Opioid Dependence Conference recognizes outstanding contributions to opioid treatment by honoring the following individuals with the Nyswander/Dole Award. James B. Graham, Maryland

D4Strategies to Minimize Neonatal Abstinence Syndrome (NAS)


Grand Ballroom Salons A-B
John J. McCarthy, MD, Bi-Valley Medical Clinic, Carmichael, CA Charissa M. Patricelli, MD, Maxxine Wright Community Health Centre, British Columbia, Canada Loretta P. Finnegan, MD, Finnegan Consulting, LLC, Avalon, NJ

Mitigating NAS severity is a critical health and economic goal, which may also reduce biases against the use of methadone in pregnancy. We will address strategies during the pregnant and post-partum periods that can reduce NAS risks. Data will be presented on the potential benecial effects of multiple methadone dose regimens on fetal health. Outcomes showing reduction of NAS severity will be presented from a study that allows mothers to room-in with their newborn. Finally, the process of accurate screening for NAS will be discussed as a critical tool for identifying the need for treatment and the most effective regimen.

D5 Improving Medication-Assisted Treatment(MAT)


Grand Ballroom Salons C-D
Robert L. DuPont, MD, Institute for Behavior and Health, Inc., Rockville,MD William L. White, MA, Chestnut Health Systems, Punta Gorda, FL Brian Crissman, BA, Partners in Drug Abuse Rehabilitation Counseling (PIDARC), Washington, DC

MAT for opioid dependence is effective, though many opportunities remain to improve these critical systems of care. The Institute for Behavior Health, a non-prot research organization, has been studying the long-term treatment and recovery outcomes of MAT. This workshop will summarize the ndings of this study which was conducted at Partners in Drug Abuse Rehabilitation and Counseling (PIDARC) including: 1) patterns of continued drug use and retention in treatment; 2) MAT patient involvement in recovery mutual aid groups; and 3) the relationship between recovery mutual aid group participation and abstinence. Clinical implications for further improvement of outcomes will be discussed.

Jim Graham recently retired from Johns Hopkins Bayview Medical Center. Since the late 1980s he has served the addiction treatment eld in many capacities. He provided HIV risk-reduction services to opioid dependent individuals before nding a niche as an information technology expert, enabling an OTP to better manage program data. Taking those skills to a municipality as the Director of Information Systems for the Baltimore Substance Abuse System, Mr. Graham helped develop DrugStat. This citywide performance measurement system facilitated the Baltimore Mayors initiative that expanded OTP access, and coordinated multi-institutional research efforts. As the Administrative Director for Johns Hopkins Bayviews Addiction Treatment Services, Jim developed a computerized system to track patients moving between different levels of care, and an incentive system to reduce staff turnover in the OTP. From 2008-2012, Jim served as the President of the Maryland Association for the Treatment of Opioid Dependence and as Marylands representative to the AATOD Board of Directors.
Belinda Greeneld, PhD, New York

PRE-BaNquET COCkTaIl RECEpTION

Tuesday, November 12
Supported through a grant from CRC HealthGroup.

Dr. Belinda Greeneld is the Director of Addiction Medicine & Self Sufciency Services and serves as the State Opioid Treatment Authority (SOTA) for New York. Dr. Greeneld has had a long and distinguished career in the eld of addiction treatment, beginning with an internship as a rehabilitation counselor at Bellevue Hospital and continuing for more than 12 years in the treatment provider community. In her current position, she has been instrumental in moving the OTP system AATOD 2013 Conference

18

in New York towards a model more integrated with other outpatient treatment services. Dr. Greeneld has addressed the needs of the more rural upstate regions as well as the city of New York. Dr. Greeneld is also a tireless advocate to help expand the role of addiction medicines in the criminal justice system. Dr. Greeneld has provided constant leadership and advocacy to support the work of the largest OTP treatment system in the United States.
John Hamilton, LMFT, Connecticut

the stigma associated with addiction and MAT. He has helped educate thousands of treatment professionals, students, corrections ofcers, nurses, physicians, legislators, patients and family members about the benets of MAT. He has served on countless committees and boards over the past 36 years, including the Salt Lake County Alcoholism and Drug Abuse Coordinating Council, and most recently the Utah delegate for the AATOD Board of Directors.
Luis Duarte Baptista Patricio, MD, Portugal

John Hamilton is currently the CEO of Recovery Network of Programs, Inc. Working in the eld of addiction for 30 years, he was successful in implementing the rst methadone halfway house in Connecticut. Mr. Hamilton was instrumental in the design of the Opioid Agonist Treatment Protocol (OATP) in an effort to increase access to methadone treatment. Mr. Hamilton won a landmark ruling with the Americans with Disability Act (ADA) to change language throughout Connecticut to be non-discriminatory against methadone programs. He improved waiting lists from 90 days to 90 minutes that resulted in immediate patient access to services. As chair of Clinical Trials Network Dissemination Committee, he helped develop the blending product concept and co-authored the Motivational Interviewing Assessment: Supervisory Tools for Enhancing Prociency (MIA: STEP) and Promoting Awareness of Motivational Incentives (PAMI) products. His sensitivity to the needs of patients has resulted in the development of important recovery oriented initiatives in Connecticut OTPs.
Kate Mahoney, LCSW, Illinois

Dr. Luis Patricio is a Psychiatrist and Clinical Director at Unidade de Aditologia e Patologia Dual-Casa de Saude de Carnaxide-Portugal. Dr. Patricio contributed to the introduction of agonist opioid treatment for drug addicts in Portugal through his consultation activity at the Ministry of Health and through his active clinical practice. He has been involved in this eld since the 1980s, and in 1987, he co-founded the rst center for the treatment of drug addicts in Portugal (called TAIPAS). This facility was the rst in the network of centers treating drug addiction, which now serves the entire country. Dr. Patricio was a pioneer in the use of LAAM (19942000) and a leader of the launcher team for Buprenorphine (1999) and Buprenorphine-Naloxone treatment in Portugal (2006). He is very active in disseminating information on correct methodology of treatment through books, TV programs, radio programs, DVDs, Prevention Briefcase and blogs dedicated to the treatment of heroin addiction.
Richard Rawson, PhD, California

Kate Mahoney is currently the Executive Director of Peer Services, Inc. For over 30 years, she has dedicated herself to ghting for the rights of opioid dependent and other substance dependent patients. She was the President of the Illinois Alcoholism and Drug Dependence Association and remains active as one of their Board of Directors. She has also been involved with the Illinois Association for Medication Assisted Addiction Treatment, where she serves as the Board President and a member of AATOD Board of Directors. Ms. Mahoney has garnered a reputation for having a unique ability to develop and maintain positive relationships with state legislators and regulatory ofcials, which aid in efforts to advocate for nancial resources and minimizing funding cuts. She has been recognized with several local awards including the George Schwab Distinguished Service Award, which is given for leadership and expertise in the development of public policy to advance the substance abuse treatment eld in Illinois.
Joel Millard, DSW, Utah

Dr. Richard Rawson is currently the Associate Director at UCLA Integrated Substance Abuse Programs, UCLA Department of Psychiatry and Biobehavioral Sciences in Los Angeles, CA. He is also a Professor-in-Residence at the Jane and Terry Semel Institute for Neuroscience and Human Behavior and David Geffen School of Medicine at UCLA. Dr. Rawson is an inspiring example of a clinician/researcher who systematically examines important clinical and policy questions and uses the ndings to facilitate improved treatment in community settings. His research has focused on both medications and psychosocial interventions. He has over 240 published articles, book chapters and training manuals. He has provided consultation and training to federal, state, and county agencies, treatment organizations, community organizations, public policy groups, and health and social service ministries for numerous countries. Dr. Rawson has testied before the FDA, state legislatures and congressional committees.
Jerome E. Rhodes, Pennsylvania

Since 1978, Dr. Joel Millard has been a mainstay of Opioid Replacement Therapy in Utah when he became the Executive Director of Project Reality, which was the only OTP in Utah for over 25 years. He is well known and respected throughout Utah as an expert in treatment and prevention as well as a teacher and mentor of social workers, mental health therapists and substance abuse counselors. Dr. Millard has been an advocate in advancing the cause of medication assisted treatment and recovery and reducing November 913, 2013 | Philadelphia, Pennsylvania

Jerome Rhodes is currently the Chief Operating Ofcer atCRCHealth Group and has over 30 years of healthcare industry experience. He serves on the Board of Directors ofthe National Association of Psychiatric Health Systems andisChairman of the Addiction Committee. Prior to his employment at CRC, he was Chief Executive Ofcer for Comprehensive Addictions Programs when it became a national, full-service addiction treatment provider of both residential and opiate treatment. Mr. Rhodes hasincreased access to treatment in the Mid-Atlantic area, particularly Virginia, Pennsylvania, and Delaware, all areas with signicant opposition 19

tofacilities that treat opioid dependence. He pioneered the use of methadone treatment in several residential facilities where it was previously unavailable. Mr. Rhodes works behind the scene and provides the necessary resources to ght regulations that negatively impact our patients and the treatment eld. He brings respect to staff and patients and develops caring leaders in Pennsylvania and across the country.
FRIENd OF THE FIEld AwaRd

also a recovering heroin user, who later became the Director of PIDARC, an outpatient methadone treatment program in the District of Columbia. He later served as the Vice President of AATOD, succeeding Richard Lanes term of ofce. This award was established in 1995 and recognizes extraordinary achievements in patient advocacy.
Ira J. Marion, MA (Posthumously)

Presented by Mark W. Parrino, MPA, AATOD President The prestigious Friend of the Field Award was established by AATODs Board of Directors. This award recognizes extraordinary contributions to the eld of opioid treatment by an individual whose work, although not directly related to opioid treatment, has had a signicant impact on our eld. The 2013 Friend of the Field Award has been awarded to:
H. Westley Clark, MD, JD, MPH, CAS, FASAM

Dr. H. Westley Clark, Director of the Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services, leads the agencys national effort to provide effective and accessible treatment to all Americans with addictive disorders. Dr. Clark is a noted author and educator in substance abuse treatment, anger and pain management, psychopharmacology, and medical and legal issues. He has received numerous awards for his contributions to the eld of substance abuse treatment, including a 2008 President of the United States Rank of Distinguished Executive Award in recognition of his personal commitment to excellence in government and public service; and a 2003 President of the United States of America Rank of Meritorious Executive Award in the Senior Executive Service for his sustained superior accomplishments in management of programs of the United States Government and for noteworthy achievement of quality and efciency in the public service. Dr. Clark is being recognized for his remarkable achievements through this award in gratitude for his consistent advocacy on behalf of our treatment system and its patients. He has been a frequent speaker at our conferences since his rst appearance in 1998 as a newly appointed Director of the Center for Substance Abuse Treatment.
RICHaRd LaNE/ROBERT HOldEN PaTIENT AdVOCaCy AwaRd

Prior to his death, Ira Marion was the Assistant to the University Chairman and Director Government Relations Department of Psychiatry & Behavioral Sciences and the former Executive Director of the Division of Substance Abuse, Department of Psychiatry and Behavioral Sciences of the Albert Einstein College of Medicine. Mr. Marion provided consultation and leadership for many professional organizations in order to provide better services to patients and to reduce the stigma associated with medication assisted treatment. He served on the New York State Governors Substance Abuse Advisory Council and as a Member of the Board of Directors and Past President of the Association of Alcoholism and Substance Abuse Providers (ASAP) of New York State. Mr. Marion served as President of the Board of Directors of the New York State Committee of Methadone Program Administrators (COMPA) and was Past First Vice President and a Member of the AATOD Board. He was also Co-Chair of the Center for Substance Abuse Treatments (CSAT) Consensus Panel on Medication Assisted Treatment. He served on the board of the National Alliance for Medication Assisted Recovery and was instrumental in nding a home for the Medication Assisted Recovery Support (MARS) Project in the Albert Einstein College of Medicine. Ira was an indefatigable supporter of the right of patients to be decision making partners throughout treatment and recovery, and in ghting against the stigma that affects patients and treatment providers.

Presented by Joycelyn Woods, MA & Walter Ginter, CMA Richard Lane was a long-term heroin user who, upon release from prison in 1967, was instrumental in establishing one of the Nations rst methadone treatment programs. In 1974, he became the Executive Director of Man Alive and later served as Vice President of the American Methadone Treatment Association and as Vice Chairman of the Governors Council on Alcohol and Drug Abuse in Maryland. Mr. Lane was a passionate advocate for methadone treatment and, by disclosing his own treatment experiences, provided inspiration to patients and colleagues alike. Robert Holden was 20

2013 AwaRdS BaNquET

Tuesday, November 12
Grand Ballroom Foyer

Supported through a grant from Mallinckrodt Pharmaceuticals.

AATOD 2013 Conference

Conference Sessions
Wednesday, November 13
CONTINENTAL BREAKFAST

Wednesday, November 13 7:30 a.m.8:00 a.m.


Grand Ballroom Foyer Sponsored by Alkermes, Inc.

WORkSHOp SESSIONS
8:00 a.m.9:30 a.m.

Benzodiazepine dependence is a severe psychiatric and medical problem, associated with signicant morbidity and even mortality, especially in an OTP setting. This workshop describes an evidence based guideline document developed by Baltimore Substance Abuse Systems, Inc. to help providers understand the risks and benets of benzodiazepine treatment in combination with OTP care. The second portion of the presentation will focus on the policies and procedures developed by two Johns Hopkins OTPs to address this severe co-morbid substance dependence problem. The nal portion of the workshop will describe standardized approaches for counseling and motivating patients to engage in benzodiazepine taper and detoxication.

E1The MOTHER Study: What about the children?


Grand Ballroom Salon G
Karol Kaltenbach, PhD, Thomas Jefferson University, Philadelphia, PA

E4Recovery Model Using OTPs in the Criminal Justice System


Grand Ballroom Salon J
Lee E. Gresser, MD, Road to Recovery at the Anne Arundel County Correctional Center at Ordnance Road, Glen Burnie, MD Babak Imanoel, DO, Adult Addiction Services, Anne Arundel County Department of Health, Glen Burnie, MD Barbara Hatch, RN, Anne Arundel County Department of Health Adult Addiction Services and Road to Recovery Program, Glen Burnie, MD

One of the rst questions that emerge from the results of the MOTHER study, a randomized clinical trial comparing the use of buprenorphine and methadone with pregnant women, is about the long-term developmental outcome of the children. This workshop will present developmental outcome data of children through the rst three years of life who were prenatally exposed to methadone or buprenorphine. These are some of the rst developmental data for children prenatally exposed to buprenorphine and the only cohort to date of both buprenorphine and methadone exposed infants born to women participating in a RCT with minimal to no concomitant illicit drug use.

E2 A Data-Driven Approach to Managing Risk andMonitoring Recovery


Grand Ballroom Salon H
Lawrence OToole, LICSW, Habit OPCO, Boston, MA Tracey Nicolosi, LMHC, Habit OPCO, Boston, MA Mary Crockett, LMHC, Habit OPCO, Boston, MA

A prospective study revealing dramatic preliminary ndings initiated this workshop. It addresses a model to reduce crime, recidivism, relapse rates of opioid dependent abusers and drug seeking behavior upon release, and in the end, prevent overdose and suicides. The program now includes those who were active in an OTP prior to incarceration, those who were addicted and never treated and those who were in a treatment program previously, but not immediately before incarceration. Education of correctional personnel, transitioning the inmate to an outpatient setting, and aftercare in an acceptable OTP is critical. Methods will be discussed and an open forum will follow the presentation.

E5Overdose Prevention Education and Take-home Naloxone


Grand Ballroom Salon K
Caleb Banta-Green, PhD, University of Washington Alcohol and Drug Abuse Institute, Seattle, WA Josiah D. Rich, MD, Brown Medical School, Providence, RI Alexander Y. Walley, MD, Boston University School of Medicine, Boston,MA

This presentation will utilize encrypted patient data to provide a live exploration of system capabilities with participants. The reporting of psychotropic medications and CNS depressants for use in Multidisciplinary Team meetings, treatment planning and risk management will be demonstrated. Participants will be asked to provide their greatest data challenge(s). These will be addressed in the second portion of the workshop. The desired objectives for participants will be increased appreciation and incentive to use existing data to drive better outcomes and reduce risk.

E3Benzodiazepine Risk and Management in OTPs


Grand Ballroom Salon I
Van L. King, MD, Addiction Treatment Services at Johns Hopkins Bayview Medical Center, Baltimore, MD Kenneth B. Stoller, MD, Johns Hopkins Broadway Center for Addictions, Baltimore, MD Yngvild Olsen, MD, IBR/Reach Health Services, Baltimore, MD

In response to high rates of opioid-related overdoses, many communities are providing education and naloxone rescue kits (take-home naloxone) via street outreach or syringe access programs, and, increasingly, in opioid treatment programs and other care settings. Research has demonstrated successful implementation of take-home naloxone, including reductions in mortality after implementation. In this workshop we will describe the current state of the evidence for take-home naloxone, including an ongoing randomized trial in an emergency department, an ecological analysis of the population impact, and an implementation study among released inmates. We will also discuss the implications for opioid treatment programs.

November 913, 2013 | Philadelphia, Pennsylvania

21

Conference Sessions
Wednesday, November 13
9:45 a.m.11:15 a.m.
a referral to a sleep specialist is indicated, will be covered. Attendees will leave this workshop with concrete techniques and treatments which they can use to help their patients in their recovery.

F1Beyond Beyond MARS: A Look at Three of the MARS Expansion Projects Peer Support Programs
Grand Ballroom Salon H
Cheryl B. Kupras, LCSW, Santa Clara County Department of Alcohol and Drug Services, San Jose, CA Grady L. Wilkinson, MSW, Sacred Heart Rehabilitation Center, Inc., Memphis, MI Kurt Kemmling, CMA, Connecticut Chapter National Alliance for Medication Assisted Recovery, Berlin, CT

F4 Young Patients Recovery Initiative: EnhancingTreatment for Youth in MAT


Grand Ballroom Salon J
Katherine E. Kalina, LMHC, Community Substance Abuse Centers, Chelsea, MA Matthew J. Ludensky, MEd, Community Substance Abuse Centers, Chelsea, MA Daniel B. Greer, LMHC, Community Substance Abuse Centers, Chelsea, MA

In June 2011, 36 people, representing nine Medication Assisted Treatment Programs throughout the United States, came together at the Albert Einstein College of Medicine for the Beyond MARS Training Institute to learn how to replicate the MARS model at Opioid Treatment Programs nationwide. This workshop will be presented by representatives from three different clinics who will provide a historical overview of MARS and Beyond MARS, review of the goals, structure and core training, as well as describe the barriers and facilitators to implementing a peer support program.

F2The Joint Commissions New Behavioral Health Home Certication Program


Grand Ballroom Salon I
Megan Marx, MPA, The Joint Commission, Oakbrook Terrace, IL Tracy Grifn Collander, LCSW, The Joint Commission, Oakbrook Terrace, IL

The CSAC Young Patient Recovery Initiative (YPRI) was designed as a response to an increasing trend in intakes among young persons ages 1829. The primary goal for the YPRI is retention in a substance abuse service system while emphasizing recovery support. This presentation will: provide a review of the YPRI, the group therapy model, and engagement strategies utilized to connect with this population; examine outcome data based on patient records and patient feedback; discuss the successes and limitations of the program; and describe how this program may be implemented in various treatment settings.

F5Cannabis Use and Abuse: Physiology, Usage Trends and Risks


Grand Ballroom Salon K
Christopher Milburn, MD, Thomas Jefferson University, Philadelphia, PA

The patient centered medical home unites many components of an individuals care, including behavioral healthcare, to provide the patient with high quality, safe, effective services to enhance treatment success. The Joint Commission has developed a new Behavioral Health Home certication program, based on the principles of the patient centered medical home. Standards developed for this certication program reect state-of-the-art policies and procedures for behavioral health care organizations. These standards will be presented for the rst time to medication assisted treatment providers at the AATOD conference in 2013 along with a discussion of the application process.

Cannabis is the most frequently used illicit substance worldwide and its use may increase as the cannabis legalization movement gains momentum. Many perceive it as having no ill effects or as a panacea for the treatment of countless medical maladies. Therefore, it is essential that practitioners understand the evidence regarding cannabis in order to have an informed discussion with patients. This workshop will review cannabis physiology, epidemiological trends in its use, as well as the adverse effects and addictive potential of cannabis.

F3 I Cant Sleep! Understanding & Treating SleepIssues in Methadone Patients


Grand Ballroom Salon G
Abigail Kay, MD, Thomas Jefferson University Hospital, Philadelphia, PA Dimitri Markov, MD, Thomas Jefferson University Hospital, Philadelphia,PA

Sleep difculties are common in patients with a history of opiate dependence and can often be a risk for relapse. This workshop is designed to help the entire treatment team (support staff, counselors and medical personnel) understand the different causes of sleep disorders and insomnia. A comprehensive review of taking a sleep history, understanding different sleep disorders, medication and behavioral treatments, and when 22 AATOD 2013 Conference

ClOSINg PlENaRy SESSION


11:30 a.m.12:45 p.m.

1:00 p.m.3:30 p.m.


(subject to change)

How Health Care Reform will Impact OTPs


Grand Ballroom Salon G
MOdERaTOR: Paul N. Samuels, JD, Director/President, Legal

Clinic Tours
Visit the Hospitality Table on-site for more information and to sign up for the tours. Family Center, Department of Pediatrics, Jefferson Medical College, Thomas Jefferson University Family Center is a comprehensive women-centered substance abuse treatment program for pregnant and parenting women. It is licensed to provide both methadone and buprenorphine outpatient maintenance. The program has a multidisciplinary team that provides services to 230 women. Services are offered on two levels: outpatient and intensive outpatient care. Services include individual, group, and family therapy; prenatal/ obstetrical care; psychiatric services; art therapy; trauma groups; parenting; nutrition; womens health groups; mindfulness-based stress reduction; Methadone Anonymous meetings; peer support services; case management; smoking cessation; GED classes; and parent/child services. Family Center has provided the prototype both nationally and internationally for the management of opioid dependency during pregnancy and the treatment of neonatal abstinence. NHS Parkside Recovery As the largest methadone treatment program in the City of Philadelphia serving 1,050 patients, Parkside Recovery provides innovative and comprehensive treatment for opiate dependence and its impact on individuals, families and communities. The treatment team consists of certied addictions counselors, psychologists and licensed masters level social workers. Physicians are ASAM certied addictions specialists. In addition, Parksides Forensic Intensive Rehabilitation (FIR) program addresses the impact of opiate addiction through an alliance with the Philadelphia criminal justice system for those whose crimes are directly attributable to substance abuse by using community treatment as an alternative to incarceration. JEVS Human Services: Act II JEVS Achievement through Counseling and Treatment (ACT) offers personal solutions to adults seeking to overcome opiate addiction through medication assisted recovery services. ACTs counselors, therapists, nurses and support staff serve over 600 patients each week at two locations (ACT I and ACT II) in Philadelphia. Our visit will include ACT II in North Philadelphia, the site of one of the outdoor behavioral health-related public murals. Completed in 2010, this 75 tall and 100 wide mural on the North wall of the clinic was designed and painted by patients and their families, community members and students from local schools and universities. The ACT clinic was recently recognized by the Commission on Accreditation and Rehabilitation Facilities (CARF) for its use of the arts in the promotion of recovery principles. At JEVS Human Services in North Philadelphia, which provides addiction treatment services, muralist James Burns worked with patients to develop a mural titled Personal Renaissance illustrating the path to recovery from addiction. The murals symbolic imagery was inspired by patients poetry, which they wrote in workshops led by Ursula Rucker, a spoken-word artist. 23

Action Center (LAC), New York, NY

SpEakERS:

Suzanne Fields, MSW, Senior Advisor, Substance Abuse and Mental Health Services Administration (SAMHSA), Rockville, MD John OBrien, Senior Policy Advisor, Center for Medicare and Medicaid Services (CMS), Department of Health and Human Services (HHS), Baltimore, MD

This closing plenary session will feature a panel discussion moderated by Mr. Paul Samuels who has been guiding work on Health Care Reform through his leadership in the Coalition for Whole Health. Suzanne Fields will provide guidance on how OTPs can work with the states in obtaining appropriate Medicaid reimbursement through Health Care Reform initiatives. John OBrien will also provide guidance on how OTPs can work with the states as Health Care Reform is executed in 2014. Conference participants should do all that they can to plan to attend this extremely informative closing plenary session since many of the questions and concerns providers have about Health Care Reform will be directly discussed and addressed.

Passing the Baton Announcement of the 2015 Conference Site


Roland C. Lamb, MA, Mark W. Parrino, MPA & Jonathan P. Connell, MA

Atlanta, Georgia
November 913, 2013 | Philadelphia, Pennsylvania

Conference Notes
CONTINUING MEDICAL EDUCATION (CME)/ CONTINUING EDUCATION HOURS (CEHS)

 Smoking is prohibited at all conference events.  Your conference badge is your admission to all events and educational sessions. Please be sure to wear your badge to all conference functions.  Participation in this conference assumes knowledge and authorization of audio and/or video recordings of portions of this conference.  Part of the proceeds of the sleeping room rates will be used to defray conference expenses.  Please take the time to complete all evaluation forms. Your feedback is extremely important to the presenters and AATOD.

The AATOD 2013 Conference will award Continuing Medical Education (CME) and Continuing Education Hours (CEHs). Please see the back cover for specic information. To apply for CMEs / CEHs, conference attendees must pay the associated fee, either in advance or at the on-site conference registration desk. Attendance at conference events will be veried electronically. Each attendee seeking CMEs / CEHs will have an electronic code attached to his/her conference badge. At the end of EACH approved session, attendees must have their badges scanned by room monitors in order to record CME / CEH. These monitors will have electronic equipment that will automatically record each individuals attendance in a database. The database will track and tabulate each attendees CMEs / CEHs. After the conference, certicates documenting attendance and the number of CMEs / CEHs earned will be electronically generated and emailed to all eligible attendees. Attendees participating in ALL six Basic Track workshops will receive an additional certicate documenting their participation in this special training series. Questions about CMEs / CEHs can be answered by staff at the Conference CME / CEH Desk located in the registration area.

A SPECIAL NOTE FOR THE DISABLED

The American Association for the Treatment of Opioid Dependence, Inc. has taken steps required to ensure that no individual with a disability is excluded, denied services, segregated or otherwise treated differently than other individuals because of the absence of auxiliary aids and services, as outlined in the Americans with Disabilities Act.
AUDIO TAPING INFORMATION

Dont Miss A Single Important Word! As a special service to attendees, the presentations will be available on Audio CD and MP3. With scheduling conicts and concurrent sessions, Job Conference will make it possible to attend every important session via audio CD and MP3, using advanced techniques assuring the highest quality recordings. Highspeed duplication equipment eliminates long delays, allowing you to hear the important information shortly after each session has concluded. The recordings provide an excellent recap and a valuable training tool to those who could not attend. Look for the Job Conference order desk located in the registration area and take your information home with you, or place an order through the mail after the conference. Please refer to your registration packet for a complete listing of available sessions.
Job Conference Phone: 1-888-609-TAPE Email: Job_CRS@att.net

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AATOD 2013 Conference

Welcome to Philadelphia

n behalf of the AATOD Conference Hospitality Committee, we are thrilled that you are here in Philadelphia. The Philadelphia Marriott Downtown, is centrally located in one of the most walkable cities in the United States. No matter what you cravedining, shopping, the arts, sports, science, gardens, or architectureyou will nd countless and diverse options nearby. Home to some of Philadelphias best restaurants, the Center City dining scene is diverse and happening. American and international cuisine are represented by Ruths Chris Steakhouse and Mortons, Italian at Osteria, and Japanese from Iron Chef Masaharu Morimoto at Morimoto. Another option is the Museum Restaurant, which features a rotating seasonal menu to complement, in either region or origin, the exhibits in the Philadelphia Museum of Art. A favorite of Philadelphia locals, Bistro St. Tropez draws crowds with seasonal French bistro fare and breathtaking views of the Schuylkill River. No matter what your taste, restaurants in Center City offer abounty of appealing dining options. You may know Philadelphia as the City of Brotherly Love with a rich history and foundation for American democracy, but did you know that were also a city of rsts? The rst hospital in the US (1751) was Pennsylvania Hospital, the rst bank in the nation (1780), the rst stock exchange (1790), Philly was the rst capital of the US (1790-1800), the Philadelphia Zoo was the rst in the nation, Wanamakers (now Macys) was the rst department store, and the very rst professional football game took place here in 1934Philadelphia Eagles beat the Cincinnati Reds, (64-0). Go Eagles! Want more history? Independence Hall, the Constitution Center and the Liberty Bell are right down the street from the hotel.

In addition to all this rich history in nation-building, many of you will have an interest in Philadelphias contributions to medicine. The College of Physicians, the United States rst professional medical organization, continues to promote the awareness of health to the public and owns an outstanding collection of medical oddities at the Mutter Museum. Visit the museum to see archival photographs of unusual deformities, diseases, and other afictions. Feel free to stop by the Hospitality Table for more information.

November 913, 2013 | Philadelphia, Pennsylvania

25

Exhibitor Directory
AATOD

Booth # 101

225 Varick Street, 4th Floor New York, New York 10014 Phone: (212) 566-5555 Fax: (212) 366-4647 E-mail: info@aatod.org Website: www.aatod.org The American Association for the Treatment of Opioid Dependence, Inc. (AATOD) was founded in 1984 to enhance the quality of patient care in treatment programs by promoting the growth and development of comprehensive opioid treatment services throughout the United States. AATOD works with federal agencies, state substance abuse authorities and agencies within the criminal justice system concerning opioid treatment policy in addition to coordinating activities with advocacy groups and treatment providers in all regions of the country. AATOD continues to work on behalf of all its members by expanding access to quality addiction treatment services.
Addiction Technology Transfer Center Network (ATTC Network)
Booth # 131

Our Program Insurance is designed for organizations which provide a broad base of services to the community. Generally, the services covered include all forms of counseling, workshops, outreach, special education, in-home services, under privileged youth and senior programs, services for client intervention and referral for government assistance programs.
Advix
Booth # 129

Alkermes

Booth # 122

852 Winter Street Waltham, MA 02451 Alkermes is a fully integrated biopharmaceutical company that applies its scientic expertise and technological know-how to develop innovative medicines designed to help patients with serious, chronic conditions better manage their disease.
Ammon Analytical Laboratory, LLC
Booth # 211

ABH Enterprises 213 Court Street Middletown, CT 06457 Phone: (860) 638-5309 Fax: (860) 638-5302 Email: GGWISC@advixehr.com Website: www.advixehr.com Advix is an ONC-certied complete ambulatory EHR, an affordable web-based electronic health record and practice management system designed for behavioral healthcare and MAT providers alike. Advix enables organizations to effectively manage operations, goals, resources, and schedules, and makes the adoption of an EHR as easy and seamless as possible.
AEP New York
Booth #313

1622 South Wood Avenue Linden, NJ 07036 Phone: (908) 862-4404 Fax: (908) 862-0605 Email: nreyes@ammontox.com Website: www.Ammontox.com Ammon Analytical is a specialty toxicology laboratory. Our main focus is working with treatment centers that are dedicated in the treatment of opiate dependence. We are highly specialized in the services we provide to our clients, what this means for you is that your program will receive excellent science and pricing.
Atlantic Diagnostic Laboratories
Booth # 127

1513 University Avenue Madison, WI 53706 Phone: (608) 265-6276 Fax: (608) 890-1438 Email: Helena.Gilbertson@ ATTCnetworkofce.org Website: www.Attcnetwork.org The ATTC Network is a resource for clinicians, agency directors, states and policy makers, and students. The Network uses a variety of technology transfer activities to promote the adoption of evidence-based practices, improve treatment outcomes, and support long-term recovery. Helena Gilbertson, Events and Logistics Coordinator Laurie Krom and Kim Johnson, Co-Directors
Addiction Treatment Providers Insurance Program
Booth # 118

82 Killearn Road Millbrook, NY 12545 Phone: (215) 859-7351 Email: jim@aepnewyork.com Website: www.aepnewyork.com AEP New York is compensating prescriber attendees for completing a survey about screening, diagnosing, patient management and referral practices relative to patients with HCV who are cared for at addiction clinics. Come see us and take the survey!
Alina Lodge
Booth # 303

3520 Progress Drive, Suite C Bensalem, PA 19020 Phone: (267) 525-2470 Fax: (267) 525-2488 Email: darin@adllab.net Website: www.adllab.net Atlantic Diagnostics is CAP certied and Pathologist and PhD directed. ADL is a full-service laboratory providing specialized testing to our Methadone Maintenance Clients. Drug testing is performed on urine, oral and blood samples, with all positives conrmed by our comprehensive LC/MS/MS testing in our state-of-the-art 27,000+ square foot facility.
Berlin Packaging
Booth # 116

555 North Lane, Suite 6060 Conshohocken, PA 19428 Phone: (610) 941-9877 Fax: (610) 941-9889 Email: rjwilletts@nsminc.com Website: www.addictiontreatmentproviders.com

PO Box G Blairstown, NJ 07825 Phone: (800) 575-6343 Email: phowlett@alinalodge.org Website: www.Alinalodge.org Alina Lodge has been a leading provider of longterm substance abuse treatment since 1957. Our approach is based upon the 12 steps of AA and is designed to assist our clients in achieving a new life of sobriety. We offer individualized treatment with positive results in a cost-effective manner.

7400 W. Campus Road New Albany, OH 43054 Phone: (614) 441-3175 Fax: (614) 775-6194 Email: brian.althoff@berlinpackaging.com Website: www.berlinpackaging.com

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AATOD 2013 Conference

Berlin Packaging is a leading supplier of rigid packaging including plastic, glass and metal bottles, containers, jars, closures and dispensing systems. We offer local warehousing with over 90 locations nationally, custom design services, decoration, 99% on-time delivery and superior quality. We have serviced the opioid industry for many years.
Brown Consulting, Ltd
Browse Table

Clinical Science Lab, Inc.


Booth # 125

Dominion Diagnostics
Booth # 121

51 Francis Avenue Manseld, MA 02048 Phone: (800) 255-6106 Fax: (508) 339-3540 Website: www.ClinicalScienceLab.com Clinical Science Lab has been serving our medical community for over 40 years. We hold our clinical testing to the highest of standards, believe that customer service is the most important commodity, and we encourage you to speak to current customers before you become one. Please give us a call.
CompuMed, Inc.
Booth # 316

211 Circuit Drive North Kingstown, RI 02852 Phone: (877) 734-9600 Fax: (401) 667-0330 Email: info@dominiondiagnostics.com Website: www.DominionDiagnostics.com Dominion Diagnostics is a national drug monitoring partner that offers customizable testing options and unique clinical solutions for enhanced accuracy and insight into treatment efcacy and outcomes. Dominions Comprehensive Analysis of Reported Drugs (CARD), provided with every report, correlates test results with patients self-reported drug misuse and treatment-related medication use.
Fidelitas Medical ITSolutions
Booth # 120

121 N. Erie Street Toledo, OH 43610 Phone: (419) 241-8547 Fax: (419) 241-8689 Email: rwillhight@danbrownconsulting.com Stop by our browse table and pick up a Flyer along with a request for Information form.
C&C Containers
Booth # 105

2607 Ledo Road Albany, GA 31707 Phone: (229) 888-2077 Fax: (229) 903-0025 Email: info@cccontainers.net Website: www.cccontainers.com Great products, better pricing, best customer service, and home of the foil seal.
CARF International
Booth # 128

5777 West Century Blvd. Suite 360 Los Angeles, CA 90045 Phone: (310) 258-5000 Fax: (310) 645-4555 Email: sales@compumed.net Website: www.compumed.net Methadone can cause prolonged QT intervals which can lead to sudden cardiac death. CompuMed and GE Healthcare have joined forces to help Methadone Clinics save lives. CompuMed, Inc. provides enterprise telemedicine solutions that facilitate the delivery of world-class clinical care through our Board-Certied cardiologists.
CRC Health Group
Booth # 309

19800 MacArthur Blvd., Suite 300 Irvine, CA 92612 Phone: (239) 464-8682 Email: info@delitas-solutions.com Website: www.Fidelitas-solutions.com Fidelitas Medical IT-Solutions brings you the latest inventions in hardware and software for methadone treatment. The subsidiary of Germany based CompWare Medical is now introducing their world-renowned solutions for the rst time in North America. Welcome to booth #120 for a live demonstration!
Gaudenzia Training Institute
Booth # 302

6951 E. Southpoint Road Tucson, AZ 85756 Phone: (520) 325-1044 Fax: (520) 318-1129 Email: bharison@carf.org Website: www.carf.org Founded in 1966, CARF International is an independent, nonprot accreditor of human service providers and networks. A provider earns accreditation by demonstrating conformance to CARFs internationally recognized standards in the areas of aging services, behavioral health, business and services management networks, continuing care communities, child and youth services, employment and community services, medical rehabilitation, opioid treatment, and vision rehabilitation services.

20400 Stevens Creek Blvd., Suite 600 Cupertino, CA 95014 Phone: (866) 540-5240 Email: mpreshaw@crchealth.com Website: www.crchealth.com CRC Health Group is the largest, most comprehensive network of specialized behavioral healthcare services in the nation. CRC offers the largest array of personalized treatment options, allowing individuals, families and professionals to choose the most appropriate treatment setting for their behavioral, addiction, weight management and therapeutic education needs. CRC is committed to making its services widely and easily available, while maintaining a passion for delivering advanced treatment.

106 W. Main Street Norristown, PA 19401 Phone: (610) 239-9600 x237 Fax: (610) 239-9324 Email: Lcureton@gaudenzia.org Website: www.Gaudenzia.org Gaudenzia was founded in 1968 with the mission of teaching chemically dependent individuals to lead a drug-free life, and to educate the public about chemical dependency and related conditions. To further this goal, Gaudenzia has developed a training institute and opened it up to other treatment professionals and human service agencies.

November 913, 2013 | Philadelphia, Pennsylvania

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Exhibitor Directory
Habit OPCO
Booth # 305

Fax: (412) 391-2528 Website: www.ireta.org The Institute for Research, Education, and Training in Addictions (IRETA) is a 501(c)(3) organization that works with national, state, and local partners to improve recognition, prevention, treatment, research and policy related to addiction and recovery. To achieve its mission, IRETA will provide:  Accurate and timely dissemination of evidencebased information.  Bidirectional exchange of constructive knowledge related to addiction and recovery.  Knowledge of addiction and recovery in a culturally competent manner. IRETA holds the grant as the National Screening, Brief Intervention and Referral to Treatment ATTC.
Irwin Siegel Agency, Inc
Booth # 102

Laboratory Corporation of America & Bendiner & Schlesinger, Inc.


Booth # 207

205 Portland Street Boston, MA 02114 Phone: (508) 324-1255 Fax: (270) 573-1603 Email: dschmidt@habitopco.com Website: www.habitopco.com Habit OPCO operates 20 programs in MA, NH, NJ, PA and VT and achieves superior clinical and nancial outcomes through standardization and implementation of best practices. Its technology platform facilitates real-time patient data capture and reporting within and across centers, facilitating high quality care and superior patient retention and treatment outcomes. Employee retention is high; 33% of the employees have been with the company > ve years and 49% > three years.
Harwoods Miami Safe Company
Booth #301

60 First Avenue Raritan, NJ 08869 Phone: (908) 526-2400 Fax: (908) 526-5188 Website: www.labcorp.com LabCorp has acquired the clinical and toxicology laboratory testing business of Bendiner & Schlesinger, Inc. Together our broad test menu, combined with our report solutions, and managed care contract portfolio, provides unparalleled choice, and clinical value for your specic needs. LabCorp makes available drug screening proles that are designed to assist treatment professionals with monitoring patients drug use.
Mallinckrodt Pharmaceuticals
Booth # 201

7350 S.W. 45 Street Miami, FL 33155 Phone: (800) 852-8577 Fax: (305) 266-5821 Email: jackbagwell@miamisafe.net Website: www.harwoodsmiamisafe.com Nationwide sales and service of DEA approved pharmaceutical safes and walk in vaults for Methadone and other drug storage.
Help4Hep/TSP c/o Project Inform
Browse Table

PO Box 309/ 25 Lake Louise Marie Road Rockhill, NY 12775 Phone: (800) 622-8272 Fax: (845) 796-3661 Email: siegel@siegelagency.com Website: www.siegelagency.com Irwin Siegel Agency, Inc. goes beyond basic insurance needs by offering Addiction Treatment providers exible coverage options, exclusive risk management resources and expert claims handling. Our Addiction Treatment program provides professional and general liability coverage to protect your organization. Excess coverage options are available. Contact us to learn more.
Karger Publishers
Browse Table

675 McDonnell Blvd. Hazelwood, MO 63042 Phone: (314) 654-3348 Website: www.mallinckrodt.com Mallinckrodt Pharmaceuticals pioneered the use of various medications in pain management and continues to be a leader in this eld. We are the largest U.S. producer of controlled opiate pain medications. Our specialty generics portfolio includes products to treat pain, ADHD, opiate and alcohol addiction, depression and insomnia.
MARS (Medication-Assisted Recovery Services)
Booth # 304

273 Ninth Street San Francisco, CA 94103 Phone: (415) 580-7307 Fax: (908) 561-4575 Email: amccord@projectinform.org Publication Title: Help4Hep: helping you understand and cope with Hepatitis C Single fold pamphlet/Tearsheet pad containing description of the services available from H4H with a tear-off containing the toll free phone number to reach Help4Hep counselors. And order instructions for additional free supplies.
Institute for Research, Education and Training in AddictionsIRETA
Booth # 103

Allschwilerstrasse 10 / P.O. Box Basel CH 4009 Switzerland Phone: (+41) 61 306 12 64 Fax: (+41) 61 306 12 34 Email: a.gasser@karger.com Publication Title: European Addiction Research Editors: Wim van den Brink / Falk Kiefer European Addiction Research is a unique international scientic journal. It represents an interdisciplinary forum for the exchange of recent data and expert opinion and it reects the importance of a comprehensive approach to resolve the problems of substance abuse and addiction in Europe.

804 East 138th Street Port Morris Wellness Center Bronx, NY 10454 Phone: (718) 742-7804 Email: BeyondMARS@marsproject.org Website: www.Marsproject.org MARS provides peer support services and training that address the needs of the medicationassisted recovery community. The Beyond MARS Training Institute provides training for programs so they can replicate the MARS model. MARS turns MAT into MAR (medication-assisted recovery). Join our growing community!

425 Sixth Avenue, Suite 1710 Pittsburgh, PA 15219 Phone: (412) 258-8569 28

AATOD 2013 Conference

MethodOne by Computalogic
Booth # 111

20436 Route 19, Suite 620, Box 180 Cranberry Twp, PA 16066 Phone: (724) 371-1199 Fax: (888) 350-8858 Email: info@computalogic.com Website: www.Computalogic.com With our web-based Software you can effortlessly create electronic health records and add continuous accountability to address todays complex regulatory requirements and with our outcomes based reports you will be a superstar in all of their eyes! Visit booth #111 to see how you can get started for $0.
Millennium Laboratories
Booth # 117

Technical Assistance and Consultation Online Resources The SBIRT Alert Newsletter
Netalytics
Booth # 132

102 Trade Street Greer, SC 29650 Phone: (864) 416-0153 Fax: (864) 416-0157 Email: kessex@netalytics.com Website: www.methasoft.com Methasoft is an industry leading product for the management and provision of care in the opioid treatment arena. Methasoft is a completely integrated system from patient check-in kiosk to billing. Methasoft is fully automated, exible software that utilizes leading technologies including Microsoft.NET Framework and SQL Server.
Netsmart
Booth # 205

Life skills management Relapse prevention planning Gender-specific groups Mental Health assessments Family counseling Narcotic outpatient detoxification  Medication management, including Methadone and Suboxone
O.Berk Company of New England/Kols Containers, Inc.
Booth # 203

300 Callegari Drive West Haven, CT 06516 Phone: (203) 932-8000 x224 Fax: (203) 934-7172 Email: bkursawe@oberk.com Website: www.oberk.com O.Berk and Kols are full-service packaging distributors. We supply take-home bottles and child-resistant caps, as well as tamper-evident seals and dispensing cups. We have warehouses in West Haven, CT and Baltimore, MD with large inventories of bottles and caps to serve your packaging needs.
OraSure Technologies Inc
Booth # 100

16981 Via Tazon San Diego, CA 92127 Phone: (858) 451-3535 Fax: (858) 451-3636 Millennium Laboratories is focused on improving the lives of people who are suffering. It transformed the science of toxicology to help ensure safety, proper care, and best treatment options for patients. The resources and education Millennium provides helps to personalize treatment plans, and improve clinical outcomes and patient safety.
National SBIRT ATTC
Booth # 104

4950 College Blvd. Overland Park, KS 66211 Phone: (800) 472-5509 Fax: (614) 799-3188 Email: info@ntst.com Website: www.ntst.com Netsmarts integrated software suites provides exible, client congurable solutions including Substance Abuse, Behavioral Health, Residential Care and Third Party Billing/Posting that are 100% certied by ARRA for funding under the HITECH Act for the Meaningful Use of Electronic Healthcare Records. Netsmart solutions are used by more than 20,000 clients worldwide to improve the lives of millions daily. Visit www.ntst.com or call 1.800.472.5509.
NHS Parkside Recovery
Booth # 310

220 East 1st Street Bethlehem, PA 18015 Phone: (610) 882-1820 Fax: (610) 332-1675 Website: www.orasure.com OraSure Technologies, the pioneers of oral uid drug testing, offers testing products for drugs of abuse and alcohol. The Intercept Oral Fluid Drug Test offers laboratory condence with oral uid convenience. Q.E.D., our point-of-care alcohol test, offers quantitative ethanol detection with a high correlation to blood levels.
Orexo US, Inc.
Booth # 312

425 Sixth Avenue, Suite 1710 Pittsburgh, PA 15219 Phone: (412) 258-8564 Fax: (412) 391-2528 Website: www.NationalATTCNetwork.org/sbirt The National Screening, Brief Intervention and Referral to Treatment Addiction Technology Transfer Center (National SBIRT ATTC), as dened by SAMHSA, is a public health approach to the delivery of early intervention and treatment services for persons with substance use disorders, as well as those who are at risk of developing these disorders. The National SBIRT ATTC Suite of Services: National Registry of Qualied SBIRT Trainers  Monthly Live Webinars on a variety of SBIRT topics  Library of recorded webinars available on demand at no cost

5000 Parkside Avenue Philadelphia, PA 19131 Phone: (215) 879-6116 Fax: (215) 689-0186 Email: afastman@nhsonline.org Website: www.NHSonline.org NHS Parkside Recovery provides the following services: IOP and OP group and individual counseling Drug and alcohol education

89 Headquarters Plaza 3rd Floor, Suite 347 Morristown, NJ 07960 Phone: (855) 982-7658 Email: info-us@orexo.com Website: www.zubsolv.com Orexo U.S., Inc. is an emerging specialty pharmaceutical company marketing improved treatments for opioid dependence using proprietary drug delivery technology. 29

November 913, 2013 | Philadelphia, Pennsylvania

Exhibitor Directory
PCB/IC&RC
Booth # 126

298 S. Progress Avenue Harrisburg, PA 17109 Phone: (717) 540-4455 Fax: (717) 540-4458 Email: info@pacertboard.org; info@internationalcredentialing.org Website: www.pacertboard.org; www.internationalcredentialing.org PCB is the credentialing authority in Pennsylvania for addiction professionals offering an array of credentials. IC&RC is the global leader in the credentialing of prevention, addiction treatment, and recovery professionals. Since 1981, it provides standards and examinations to certication/licensing boards in 24 countries, 47 states/ territories, ve Native American regions, and all branches of the U.S. military.
Physicians Choice Laboratory Services,Inc.
Booth # 119

clients and their families through a network of facilities in Pennsylvania, New Jersey, Virginia, and Kentucky.
Reckitt Benckiser Pharmaceuticals
Booth # 212

SAMMS

Booth # 113

10710 Midlothian Turnpike, Suite 430 Richmond, VA 23235 Email: rbreply@dsuccess.com Website: www.rb.com Reckitt Benckiser Pharmaceuticals is at the forefront providing educational resources and treatment options to physicians and patients dealing with the chronic relapsing disease of opioid dependence. Please visit their exhibit where Reckitt Benckiser clinical liaisons will be available to discuss the indications and provide scientic information, and answer your questions about a unique treatment option.
Redwood Toxicology Laboratory, Inc.
Booth # 130

711 South Blvd., Suite #2 Oak Park, IL 60302 Phone: (877) 717-SAMM Fax: (800) 789-0954 Email: info@sammssystem.com Website: www.sammssystem.com SAMMS is a software management tool able to handle your complete substance abuse needs including paperless electronic medical records, Insurance Billing, and Medication Dispensing. Stop by booth # 113 for a quick demo and to discuss how we can customize SAMMS to meet your exact needs.
San Diego Reference Laboratory
Booth # 202

854 Paragon Way Rock Hill, SC 29730 Phone: (855) 900-2927 Email: info@pcls.com PCLS is a state-of-the-art laboratory offering personalized service and the most advanced testing today. Our service and commitment to patients and physicians are unparalleled in the industry. From toxicology screening to pharmacogenetic testing, PCLS provides easy-to-read reports and continual innovation in safety, precision and efciency.
Pinnacle Treatment Centers
Booth # 315

3650 Westwind Blvd. Santa Rosa, CA 95403 Phone: (707) 570-4354 Fax: (707) 569-1442 Website: www.redwoodtoxicology.com Redwood Toxicology Laboratory is the government services division of Alere Toxicology and one of the nations largest drug and alcohol testing laboratories. Redwood provides reliable and innovative substance abuse screening products and lab test options to help criminal justice and treatment professionals promote wellness and relieve addiction suffering.
Roxane Laboratories, Inc.
Booth # 209

6565 Nancy Ridge Drive San Diego, CA 92121 Phone: (800) 677-7995 Fax: (858) 677-7998 Email: kimberly@sdrl.com Website: www.SDRL.com San Diego Reference Laboratory is a clientfocused toxicology laboratory, specializing in drug of abuse testing. We offer specically designed urine/saliva laboratory panels, serum methadone testing, routine clinical tests (CBC, RPR, CMP, Hepatitis, Urinalysis, etc.) and cost effective onsite products to accommodate your programs needs. SDRL offers clients Quality Service, Accurate Test Results, Accessibility to Technical information, and Rapid Turn Around Time.
Scilog/Parker Hannin
Booth # 112

35 Broad Street Keyport, NJ 07735 Phone: (732) 264-7222 x504 Email: Doreen.brady@pinnacletreatment.com Website: www.Pinnacletreatment.com Pinnacle Treatment Centers provide inpatient and outpatient treatment for those suffering from addiction. Our services include drug-free and medicationassisted treatment, including Suboxone, methadone, substance disorders, and co-occurring disorders. We provide these treatments along with medical evaluation and counseling for our

1900 Arlingate Lane Columbus, OH 43228 Phone: (800) 962-8364 Website: www.Roxane.com Roxane Laboratories is a recognized leader for the research, development, sales, and marketing of prescription pharmaceuticals. To help support the Addiction Therapy community of clinics and patients, we feature several products in our portfolio, as well as a team of dedicated service professionals. To learn more about Roxane and its products, please visit our website at www. roxane.com.

801 Deming Way Madison, WI 53717 Phone: (800) 955-1993 Fax: (608) 824-0509 Email: Douglas.johnson@parker.com Website: www.Scilog.com SciLog/Parker Hannin specializes in automated LabTec Methadone dispensing pumps that are used by clinics worldwide for the accurate dispensing of liquid methadone to patients. The LabTec Methadone dispensing pumps provide high precision, high accuracy, programmable medication dispensing capability by volume or weight. The LabTec can be used with exiting patient software programs from several sources.

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AATOD 2013 Conference

SMART Management Inc.


Booth # 213

Tower Systems, Inc


Booth # 123

Walden University
Booth #314

66 Pavilion Avenue Providence, RI 02905 Phone: (401) 780-2300 Email: sales@smartmgmt.com Website: www.Smartmgmt.com SMARTs Electronic Medical Record Software is designed to meet your facilitys every need. SMART Software streamlines your operations from admission to annual report. SMARTs Clinical, Medical and Financial Software Modules integrate any multi-modality treatment facility including Residential or Outpatient Substance Abuse, Methadone Maintenance and Behavioral Health.
Stratus EMR
Booth # 114

17461 Irvine Blvd., Suite Y Tustin, CA 92780 Phone: (714) 731-0491 Fax: (714) 731-8634 Email: info@towersys.com Website: www.Methadoneclinics.com Tower Systems has been committed to producing sound and stable software for methadone clinics that is versatile and mature enough to meet the changing needs of a changing industry. With a host of CARF, JCAHO and COA accreditation tools, as well as HIPAA compliant 837 and 835 billing, if its functionality and industry knowledge youre looking for, look no further than Tower Systems.
United States Drug Testing Laboratories, Inc.
Booth # 115

650 S. Exeter Street Baltimore, MD 21202 Phone: (215) 407-5191 Email: Erin.Lubin@waldenu.edu Website: www.Waldenu.edu Walden University is an accredited institution that has been serving the higher education needs of professionals for more than 40 years. Areas of study range from health and addictions to management and counseling. Walden programs help students achieve their goals so that, as graduates, they can help advance the lives of others.
Weston Medical Publishing, LLC
Booth # 311

180 Pleasant Street, Studio 9 Easthampton, MA 01027 Phone: (413) 282-8870 Fax: (877) 807-9016 Email: pjcleary@stratusemr.com Website: www.stratusemr.com Stratus EMR provides medical record software for addiction professionals. We offer many customizable features such as templates for initial visits, induction and maintenance visits, as well as reports that track patients and prescriptions in accordance with DEA regulations. Were also one of the few EMRs offering e-prescribing of controlled substances.
The Joint Commission
Booth # 106

1700 S. Mount Prospect Road Des Plaines, IL 60018 Phone: (800) 235-2367 Fax: (847) 375-0775 Email: nancy.parra@USDTL.com Website: www.USDTL.com Established in 1991 as a specialty drug testing facility, United States Drug Testing Laboratories, Inc.s (USDTL) cutting-edge umbilical cord testing for exposure to alcohol and substances of abuse makes us The Leader in Newborn Toxicology. To learn more visit us at www.usdtl.com or call 800-235-2367.
VistaPharm
Booth # 124

470 Boston Post Road, 3rd Floor Weston, MA 02493 Phone: (781) 899-2702 Fax: (781) 899-4900 Email: radjr@pnpco.com Website: www.opioidmanagement.com Weston Medical Publishing, LLC is a leading publisher of professional peer-reviewed scientic, technical, and medical (STM) journals. Journal of Opioid Management, its premier publication, is the only peer-reviewed reference and clinical journal that deals with all aspects of opioids from basic science to clinical application to abuse and addiction medicine.
White Deer Run/Cove Forge/ Bowling Green
Booth # 107

One Renaissance Blvd. Oakbrook Terrace, IL 60181 Phone: (630) 792-5131 Fax: (630) 792-4131 Email: mmarx@jointcommission.org Website: www.jointcommission.org/BHC Accreditation from The Joint Commission helps create a standards-based culture of excellence, assisting you in providing the safest, highest quality environment for those you serve. To learn more about how your organization can earn this respected Gold Seal of Approval, drop by booth #106, visit www.jointcommission.org/BHC or call (630) 792-5866.

2224 Cahaba Valley Drive, Suite B Birmingham, AL 35242 Phone: (205) 981-1387 Fax: (205) 980-4849 Email: info@vistapharm.com Website: www.Vistapharm.com VistaPharm manufactures and distributes quality methadone products. We offer oral concentrate (Cherry and Sugar-Free/Dye-Free), dispersible diskette, tablets, and powder methadone. We also distribute buprenorphine (8mg and 2mg) and buprenorphine/naloxone (8mg/2mg and 2mg/0.5mg). Our personalized services set us apart in our industry. We are accessible to address your needs in an expedient manner. Stop by our booth to meet the VistaPharm staff.

220 North Front Street, Suite 4 Philipsburg, PA 16866 Phone: (814) 861-6198 Fax: (814) 861-6199 Email: kkoptchak@crchealth.com Website: www.whitedeerrun.com / www.bowlinggreenbrandywine.com White Deer Run/Cove Forge Behavioral Health System/Bowling Green Brandywine is one of the leading systems in the nation for the treatment of drug and alcohol addiction. Each of our facilities provides a relaxed atmosphere that lends itself to personal reection and healing for adults and adolescents alike.

November 913, 2013 | Philadelphia, Pennsylvania

31

Exhibit Hall

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AATOD 2013 Conference

Continuing Education
The AATOD 2013 Conference will award Continuing Medical Education (CME) Credits and Continuing Education Hours (CEHs).
2013 Continuing Medical Education

2013 Continuing Education Hours

NAADACAATOD is an approved provider through NAADAC, the Association for Addiction Professionals, Provider #00218. This program meets the criteria for up to 33 hours of continuing education. NBCCThis program has been approved by the National Board for Certied Counselors for up to 33 hours, approval number SP-2224. ASWBAATOD, provider # 1044 is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB) www.aswb.org, through the Approved Continuing Education (ACE) program. AATOD maintains responsibility for the program approved until 2016. Social workers will receive up to 33 continuing education clock hours. PSNAThis activity has been submitted to PA State Nurses Association for approval to award contact hours. PA State Nurses Association is accredited as an approver of continuing nursing education by the American Nurses Credentialing Centers Commission on Accreditation. A complete listing of credits approved for offered sessions is available in the registration materials or at the CE Desk in the registration area. For more information regarding continuing education credits/hours, please call Maria Ramos at 856-423-3091.

The American Society of Addiction Medicine designates this live activity for a maximum of 30 AMA PRA Category 1 Credit(s). Physicians should claim only the credit commensurate with the extent of their participation in the activity. This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of the American Society of Addiction Medicine and the American Association for the Treatment of Opioid Dependence, Inc. The American Society of Addiction Medicine is accredited by the ACCME to provide continuing medical education for physicians.
ASAM CME Committee & Reviewers:

Adam J. Gordon, MD, MPH, FACP, FASAM, MRO, Chair No disclosures Edwin A. Salsitz, MD, FASAM, Co-Chair, Activity Reviewer Reckitt Benckiser/honorarium/speaker James L. Ferguson, DO, FASAM, Activity Reviewer First Lab/salary/Medical Director James Finch, MD, FASAM Reckitt Benckiser/honoraria/speaker Noel Ilogu, MD, MRCP No disclosures Herbert Malinoff, MD, FACP, FASAM No disclosures Mark P. Schwartz, MD, FASAM, FAAFP No disclosures John C. Tanner, DO, FASAM Alkermes & Reckitt Benckiser/honoraria/ speaker

Conference Sponsors
The American Association for the Treatment of Opioid Dependence, Inc. and the 2013 Conference Planning Committee acknowledge and give special thanks to:

PlaTINuM LEVEl SpONSORS

Join us!
GOld LEVEl SpONSOR

2015 AATOD Conference


March 28April 1, 2015

City of Philadelphia Department of Behavioral Health Intellectual disAbility Services (DBHIDS)

Atlanta, Georgia
SIlVER LEVEl SpONSORS

State of Pennsylvania Department of Drug and Alcohol Program (DDAP)

Community Care Behavioral Health Organization (CCBH)

BRONZE LEVEl SpONSORS

National Institute of Health (NIH)/ National Institute on Drug Abuse (NIDA)

Substance Abuse and Mental Health Services Administration (SAMHSA)

addITIONal SpONSORS

Professionally Managed by